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Parastomal Evisceration: A Report of Two Cases and Review of Literature
- Source :
- Cureus
- Publication Year :
- 2019
- Publisher :
- Cureus, Inc., 2019.
-
Abstract
- Intestinal stomas have been performed for hundreds of years for both benign and malignant disorders of the large and small bowel. Complications of stomas like stomal prolapse, parastomal hernia, and retraction are well-known. The evisceration of intra-abdominal contents is a very rare occurrence, carrying a high burden of morbidity. The etiology, timing, and treatment of this complication are not adequately described in the literature. We report two patients who were operated and in whom ostomy was fashioned; parastomal evisceration occurred in the early postoperative period in both cases. Both of these patients were operated emergently, and reduction of eviscerated contents followed by stoma refashioning was performed. One patient survived; whereas, the other patient who presented with septic shock expired due to multiorgan dysfunction syndrome. This report describes a rare and possibly fatal complication of ostomy and highlights the importance of meticulous operative technique in ensuring safety in this procedure.
- Subjects :
- colostomy
medicine.medical_specialty
medicine.medical_treatment
complication
ileostomy
030204 cardiovascular system & hematology
hernia
surgery
03 medical and health sciences
Ileostomy
0302 clinical medicine
medicine
Hernia
Evisceration (ophthalmology)
emergency
Septic shock
business.industry
evisceration
Gastroenterology
General Engineering
Colostomy
Multiorgan dysfunction
medicine.disease
digestive system diseases
Surgery
General Surgery
Emergency Medicine
Etiology
Complication
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 21688184
- Database :
- OpenAIRE
- Journal :
- Cureus
- Accession number :
- edsair.doi.dedup.....06fbb866665a6c2c11232eb77f42ee48