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Spontaneous closure of stoma
Intestinal loop stoma is a common surgical procedure performed for various benign and malignant abdominal problems, but it rarely undergoes spontaneous closure, without surgical intervention. Two male patients presented to our emergency surgical department with acute abdominal pain. One of them was...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5193052/ https://www.ncbi.nlm.nih.gov/pubmed/25943110 http://dx.doi.org/10.1093/gastro/gov014 |
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author | Pandit, Narendra Singh, Harjeet Kumar, Hemanth Gupta, Rajesh Verma, G. R. |
author_facet | Pandit, Narendra Singh, Harjeet Kumar, Hemanth Gupta, Rajesh Verma, G. R. |
author_sort | Pandit, Narendra |
collection | PubMed |
description | Intestinal loop stoma is a common surgical procedure performed for various benign and malignant abdominal problems, but it rarely undergoes spontaneous closure, without surgical intervention. Two male patients presented to our emergency surgical department with acute abdominal pain. One of them was diagnosed as having rectosigmoid perforation and underwent diversion sigmoid loop colostomy after primary closure of the perforation. The other was a known case of carcinoma of the rectum who had already undergone low anterior resection with covering loop ileostomy; the patient underwent second loop ileostomy, this time for complicated intestinal obstruction. To our surprise, both the loop colostomy and ileostomy closed spontaneously at 8 weeks and 6 weeks, respectively, without any consequences. Spontaneous stoma closure is a rare and interesting event. The exact etiology for spontaneous closure remains unknown, but it may be hypothesized to result from slow retraction of the stoma, added to the concept of a tendency towards spontaneous closure of enterocutaneous fistula. |
format | Online Article Text |
id | pubmed-5193052 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-51930522017-01-04 Spontaneous closure of stoma Pandit, Narendra Singh, Harjeet Kumar, Hemanth Gupta, Rajesh Verma, G. R. Gastroenterol Rep (Oxf) Case Reports Intestinal loop stoma is a common surgical procedure performed for various benign and malignant abdominal problems, but it rarely undergoes spontaneous closure, without surgical intervention. Two male patients presented to our emergency surgical department with acute abdominal pain. One of them was diagnosed as having rectosigmoid perforation and underwent diversion sigmoid loop colostomy after primary closure of the perforation. The other was a known case of carcinoma of the rectum who had already undergone low anterior resection with covering loop ileostomy; the patient underwent second loop ileostomy, this time for complicated intestinal obstruction. To our surprise, both the loop colostomy and ileostomy closed spontaneously at 8 weeks and 6 weeks, respectively, without any consequences. Spontaneous stoma closure is a rare and interesting event. The exact etiology for spontaneous closure remains unknown, but it may be hypothesized to result from slow retraction of the stoma, added to the concept of a tendency towards spontaneous closure of enterocutaneous fistula. Oxford University Press 2016-11 2015-05-05 /pmc/articles/PMC5193052/ /pubmed/25943110 http://dx.doi.org/10.1093/gastro/gov014 Text en © The Author(s) 2015. Published by Oxford University Press and the Digestive Science Publishing Co. Limited. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Pandit, Narendra Singh, Harjeet Kumar, Hemanth Gupta, Rajesh Verma, G. R. Spontaneous closure of stoma |
title | Spontaneous closure of stoma |
title_full | Spontaneous closure of stoma |
title_fullStr | Spontaneous closure of stoma |
title_full_unstemmed | Spontaneous closure of stoma |
title_short | Spontaneous closure of stoma |
title_sort | spontaneous closure of stoma |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5193052/ https://www.ncbi.nlm.nih.gov/pubmed/25943110 http://dx.doi.org/10.1093/gastro/gov014 |
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