Intestinal Perforation Following Ileoscopy Through a Prolapsed Stoma in an Pediatric Intestinal Transplant Recipient With an Unrecognized Parastomal Hernia
Author(s) -
Pavni Mehrotra,
Joanna Yeh,
Theodore R. Hall,
Vatche G. Agopian,
Douglas G. Farmer,
Elizabeth A. Marcus,
Robert S. Venick,
Laura J. Wozniak
Publication year - 2016
Publication title -
acg case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.112
H-Index - 4
ISSN - 2326-3253
DOI - 10.14309/crj.2016.96
Subject(s) - medicine , stoma (medicine) , perforation , ileostomy , hernia , surgery , general surgery , biopsy , materials science , punching , metallurgy
Ileoscopy with mucosal biopsy is fundamental in the management and surveillance of inflammatory bowel disease patients and intestinal transplant recipients. There is a paucity of data describing the risks of ileoscopy in the presence of a prolapsed stoma. Parastomal hernias are frequently associated with prolapsed stomas. We report the first case of perforation during ileoscopy in the setting of a prolapsed stoma and unrecognized parastomal hernia. Recognition of parastomal hernia associated with stoma prolapse is of paramount importance in patients undergoing ileoscopy as it may increase the risk of perforation.
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