Intussusception through an ileostomy: A case report and literature review

Maatouk, M.; Safta, Yacine Ben; Mabrouk, A. Ben; Bouafif, Marwa; Hajdahmen, Nesrine; Dhaou, Anis Ben; Daldoul, S.; Sayari, S.; Haouet, Karim; Moussa, Mounir Ben

doi:10.1016/j.amsu.2019.09.003

Cited by 3 publications

(6 citation statements)

References 12 publications

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“…A peristomal hernia is a complication comprising a bulge around the site of the stoma, and coughing can exacerbate this complication. Our rate of peristomal hernia was only 2.3%, which was lower than the rate reported by Maatouk et al (10.1%) [ 15 ]. A peristomal hernia can be prevented by minimizing the incision.…”

Section: Discussioncontrasting

confidence: 87%

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Frequency and Complications of Ileostomy

Mehboob¹,

Perveen²,

Iqbal³

et al. 2020

Cureus

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Introduction Ileostomies are life-saving procedures used for temporary fecal diversion in complicated cases of ileal perforation. However, an ileostomy is associated with several complications. The goal of this study was to determine the frequency and complications of ileostomy in the Jinnah Postgraduate Medical Centre, Karachi, Pakistan. Methodology We conducted a longitudinal observational study from July 2019 to July 2020. All patients older than age 12 receiving an ileostomy were included. Patient examinations were conducted on the first postoperative day and were assessed for hemorrhage and necrosis. Examinations were conducted on the seventh postoperative day to assess stoma retraction, stenosis, prolapse, and high-output fistula. Patients were monitored via follow-up in the outpatient clinic every 15 days to record any complications for three months until the reversal was performed. All data were analyzed using IBM SPSS Statistics for Windows, Version 25.0. (Armonk, NY: IBM Corp.). Result A total of 84 patients who received ileostomies were included in the study. Most patients were male (n=62; 73.8%), and 22 were female (26.19%). Of the 84 patients in our study, 34 (40.48%) had tuberculous intestine, 23 (27.38%) had typhoid ileal perforation, 23 (27.38%) were trauma patients, and four patients (4.7%) had gangrenous appendicular perforation. 23 patients (27.3%) were discharged with no complications, and 61 patients (72.69%) developed complications. The most common complication was skin excoriation (19.4%), followed by wound infection (13%), nonfunctioning stoma (11.9%), prolapse and stenosis (6%), retraction (4.7%), high-output fistula (3.5%), parastomal hernia and necrosis (2.3% each), and hemorrhage (1.1%). Conclusion Ileostomy is a common and lifesaving surgical diverting procedure. It is still common in our clinic due to late presentation by patients who need the procedure. Complications are common but manageable. Therefore, it is essential to recognize these complications and manage them early to reduce the morbidity of the patients.

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Section: Discussioncontrasting

confidence: 87%

“…Nonfunctioning stoma occurred in 11.9% of patients in our study, which we addressed with immediate revision with lateral fixation. Maatouk et al used urgent conservative surgical management with manual reduction to treat patients with a nonfunctioning stoma in their study [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Frequency and Complications of Ileostomy

Mehboob¹,

Perveen²,

Iqbal³

et al. 2020

Cureus

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“…4,5 There were no pathologic lead points in all of the described cases. 6 We report five occurrences of intussusception through an ileostomy in four children which to our knowledge is the first report of this condition in children.…”

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confidence: 74%

“…Most of the reported cases were in patients with bowel diseases such as inflammatory bowel disease (IBD), diverticulitis and colorectal cancers 4,5 . There were no pathologic lead points in all of the described cases 6 …”

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confidence: 97%

‘Extussusception’: Rare cases of small bowel intussusception through ileostomy in children

Awolaran

Hallows

2021

J Paediatrics Child Health

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“…This emphasizes the rarity of this colostomy complication. In contrast, multiple cases of intussusception through ileostomy have been reported, the majority of which occurred in pregnant women and thus were attributed to a rise in intra-abdominal pressure [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

A rare case of intussusception through a prolapsed end colostomy

Temperley

Waters

Murray

et al. 2021

Journal of Surgical Case Reports

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Intussusception through a prolapsed end colostomy is amongst the rarest of stoma complications. In this case report, we discuss the therapeutic approach to this complication and provide an update of the existing literature. A 66-year-old male presented with a prolapsed colostomy that was ischaemic in appearance. Intraoperatively, a small bowel intussusception within the prolapsed colon was identified. A subtotal colectomy was subsequently performed to prevent further volvulus formation. When patients present with a prolapsing oedematous enterostomy that cannot be reduced, careful clinical examination is required. If there is vascular compromise, exploratory laparotomy is mandatory.

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Intussusception through an ileostomy: A case report and literature review

Cited by 3 publications

References 12 publications

Frequency and Complications of Ileostomy

Frequency and Complications of Ileostomy

‘Extussusception’: Rare cases of small bowel intussusception through ileostomy in children

A rare case of intussusception through a prolapsed end colostomy

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