INSURGENCE OF MAGGOTS AROUND COLOSTOMY: AN UNUSUAL PRESENTATION

Insurgence of Maggot's is an uncommon feature of colostomy site. Maggots' infestation has been reported over sites like nose, ear, orbit, tracheotomy wound, face, gums and serous cavities. We report a case of maggots infestation surrounding the colostomy site, which to the best of our knowledge, is the first reported case in the review of the literature. A patient of advanced inoperable adenocarcinoma rectum presented with complaints of constant vague pain, discomfort and foul smelling discharge over colostomy site. On exploration, maggots were identified as the cause and patient was relieved of his agony by their meticulous eradication. We emphasize that Stoma Care should be constantly monitored to prevent Maggot infestation and prevention counseling should be included in the stoma care protocol in tropical countries.