[Adenicarcinoma in an ileostomy 41 years after proctocolectomy due to familial adenomatous polyposis].

This casestory describes a complication 41 years after a proctocolectomy due to familial adenomatous polyposis. Due to a granuloma the patient experienced problems in bandaging his ileostomy. The granuloma was excised, and a histologic examination revealed an adenocarcinoma. A small bowel resection was performed and 30 cm of the ileum was removed along with 3 cm of surrounding peristomal tissue. The patient did not wish to move the ileostomy, and a peristomal hernia occured. The recommendation is to excise the stoma including a tube of the surrounding tissue and to move the new stoma to another location, thereby reducing the risk of stomal hernia.