Colonic Perforation and Transstomal Evisceration of Small Bowel

Abstract

The formation of an abdominal stoma is a commonly performed procedure in gastrointestinal surgery. Common complications include parastomal hernia, stomal necrosis, stomal prolapse, stenosis and secondary effects to surrounding skin. Transstomal evisceration is an extremely rare complication with only two previous reported cases. We present a unique case of transstomal evisceration of small bowel secondary to blunt force trauma. In addition, parastomal evisceration is also uncommon with only 15 reported cases. These conditions require emergent operative intervention due to the risk of ischemic injury to eviscerated contents.

J Curr Surg. 2021;11(2):46-50
doi: https://doi.org/10.14740/jcs438