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Intussusception through an ileostomy: A case report and literature review

INTRODUCTION: Intussusception through an ileostomy is one of the rarest complications of stomas. In this study we report a case and a brief update of the literature to focus on the clinical level of this pathology and the therapeutic attitudes. PRESENTATION OF CASE: a 44-year-old man who underwent a...

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Detalles Bibliográficos
Autores principales: Maatouk, M., Ben Safta, Y., Mabrouk, Aymen, Bouafif, Marwa, Hajdahmen, Nesrine, Ben Dhaou, Anis, Daldoul, Sami, Sayari, Sofien, Haouet, Karim, Ben Moussa, Mounir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796582/
https://www.ncbi.nlm.nih.gov/pubmed/31641499
http://dx.doi.org/10.1016/j.amsu.2019.09.003
Descripción
Sumario:INTRODUCTION: Intussusception through an ileostomy is one of the rarest complications of stomas. In this study we report a case and a brief update of the literature to focus on the clinical level of this pathology and the therapeutic attitudes. PRESENTATION OF CASE: a 44-year-old man who underwent a small bowel resection with double stoma for tuberculosis peritonitis presented with stomatal prolapse. On examination of the stoma, small bowel mucosa appeared to have evident rather than serosa. The patient had an elective reduction of the proximal stoma under anesthesia. CONCLUSION: A review of the literature shows that Intussusception through an ileostomy can occur at any time after the first surgery. The cause is still unclear. Urgent conservative surgical management based on manual reduction should be preferred.