Self-expandable metallic stent therapy for a patient with colostomy stricture caused by stoma retraction

Abstract

We report the applicability of a self-expandable metallic stent (SEMS) for the treatment of colostomy stricture caused by stoma retraction. A 59-year-old woman with interstitial pneumonia and long-term use of steroids underwent Hartmann's operation for sigmoid colon perforation. After the surgery, she required long-term ventilator management due to septic shock and respiratory disorder. In addition, stoma necrosis due to the septic shock resulted in stoma retraction. Four months after the surgery, she complained of constipation due to colostomy stricture caused by stoma retraction. Considering the risk of the surgical procedure, we inserted SEMS through colostomy. At a 6-month follow-up, no adverse event was noted. Therefore, SEMS therapy could be a useful option for the treatment of colostomy stricture.