Figure 1. Eviscerated small bowel in stoma bag.
| Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc |
| Journal website https://www.currentsurgery.org |
Case Report
Volume 11, Number 2, June 2021, pages 46-50
Colonic Perforation and Transstomal Evisceration of Small Bowel
Figures
Table
| Author | Age | Gender | Type of stoma | Type of evisceration | Indication for stoma | Time of evisceration following surgery | Pulmonary disease | Other possible risk factors/cause |
|---|---|---|---|---|---|---|---|---|
| M: male; F: female; ICU: intensive care unit; C. difficile: Clostridium difficile; COPD: chronic obstructive pulmonary disease. | ||||||||
| Guner et al, 2012 [6] | 76 | M | End descending colostomy | Transtomal | Hartmann’s procedure for sigmoid colon necrosis | 11 months | No | Diabetes mellitus, smoking, ischemic colitis |
| Villa et al, 2012 [7] | 69 | M | Transverse loop colostomy | Transtomal | Large bowel obstruction | 8 months | No | Vomiting |
| Mateae et al, 2020 [8] | 84 | M | Loop sigmoid colostomy | Parastomal | Diverting colostomy prior to neoadjuvant therapy for rectal cancer | 3 days | No | None identified |
| Lapena-Rodriguez et al, 2020 [2] | 44 | M | End descending colostomy | Parastomal | Anastomotic leak post-sigmoidectomy | 2 years | No | Chronic alcohol |
| Basnayake et al, 2019 [9] | 51 | M | Loop sigmoid colostomy | Parastomal | Defunctioning prior to surgery for perineal hidradenitis suppurativa | 6 months | COPD | None identified |
| Kulkarni et al, 2019 [5] | 45 | M | Loop sigmoid colostomy | Parastomal | Iatrogenic rectal injury | 12 days | No | Preceded by severe bout of coughing |
| Kulkarni et al, 2019 [5] | 50 | F | Loop sigmoid colostomy | Parastomal | Rectovaginal fistula secondary to locally advanced cervical carcinoma | 9 days | No | None identified |
| Arbra et al, 2017 [10] | 90 | M | End ileostomy | Parastomal | Total colectomy for Ogilvie syndrome | 7 days | No | Intubated in ICU |
| Ramly et al, 2016 [11] | 81 | M | End ileostomy | Parastomal | Total colectomy following refractory C. difficile colitis | 9 days | COPD | Preceded by severe bout of coughing |
| Lolis et al, 2015 [12] | 48 | F | End transverse colostomy | Parastomal | Metastatic rectal cancer and rectovaginal fistula | 18 months | Pulmonary fibrosis | None identified |
| Yucel et al, 2014 [13] | 62 | M | End colostomy | Parastomal | Abdominoperineal resection for rectal adenocarcinoma | 1 year | COPD | None identified |
| Azouz et al, 2014 [4] | 69 | M | End sigmoid colostomy | Parastomal | Diverting colostomy for perianal necrotising fasciitis | 3 days | COPD | Long-term smoker, chronic alcohol use |
| Salles et al, 2011 [14] | 62 | M | Loop transverse colostomy | Parastomal | Obstructing rectal carcinoma | 4 days | COPD | Bronchospasm requiring intubation and mechanical ventilation in ICU |
| Vornehm et al, 2011 [15] | 66 | F | End colostomy | Parastomal | Hartmann’s procedure for perforated diverticulitis | 2 years | No | Peristomal pyoderma gangrenosum, immunosuppression |
| Moffett et al, 2010 [16] | 23 | M | End Ileostomy | Parastomal | Not stated, however background of Crohn’s disease | Not stated | No | Blunt force trauma |
| Park et al, 2010 [3] | 58 | M | Loop ileostomy | Parastomal | Defunctioning ileostomy after rectal carcinoma resection | 4 months | No | Attempted reduction of stomal prolapse |
| Fitzgerald et al, 2008 [17] | 65 | M | Loop ileostomy | Parastomal | Defunctioning ileostomy for anterior resection | 10 days | No | None identified |