Basnayake Oshan, Jayarajah Umesh, Jayasinghe Jayan, Wijerathne Pradeep Kumara, Samarasekera Dharmabandhu Nandadeva
Professorial Surgical Unit, National Hospital of Sri Lanka, Colombo, Sri Lanka.
Department of Surgery, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo 8, Western Province, Sri Lanka.
BMC Surg. 2019 Apr 25;19(1):43. doi: 10.1186/s12893-019-0509-5.
Long standing ostomy related complications such as parastomal hernia and stoma prolapse may be at a higher risk of developing spontaneous rupture and evisceration, especially in patients suffering from chronic cough. Such patients may need early refashioning of the stoma to prevent this serious complication. Parastomal evisceration is a very rare complication of stomas and to date, only few cases have been reported in the literature.
A 51 year old patient with chronic obstructive pulmonary disease (COPD) and extensive hidradenitis suppurativa of the perineum underwent a temporary defunctioning loop sigmoid colostomy and subsequent perineal skin excision and skin grafting. The ostomy was complicated by a parastomal hernia and stoma prolapse 6 weeks post operatively. Five months later he developed spontaneous rupture of parastomal hernia and evisceration of small bowel. Urgent surgery was done and reduction of small bowel loops and re-siting of the sigmoid colostomy was done.
Parastomal evisceration is an extremely rare life threatening stoma-related complication which requires urgent treatment.
长期存在的造口相关并发症，如造口旁疝和造口脱垂，可能有更高的自发破裂和脏器脱出风险，尤其是在患有慢性咳嗽的患者中。这类患者可能需要早期重新塑造造口以预防这种严重并发症。造口旁脏器脱出是一种非常罕见的造口并发症，迄今为止，文献中仅报道了少数病例。
一名51岁患有慢性阻塞性肺疾病（COPD）和会阴部广泛化脓性汗腺炎的患者接受了临时功能性乙状结肠袢式造口术，随后进行了会阴部皮肤切除和植皮手术。术后6周，造口出现造口旁疝和造口脱垂并发症。五个月后，他出现了造口旁疝自发破裂和小肠脏器脱出。进行了紧急手术，将小肠袢复位并重新安置了乙状结肠造口。
造口旁脏器脱出是一种极其罕见的危及生命的造口相关并发症，需要紧急治疗。
