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Feeding gastrostomy stoma site cutaneous myiasis: a rare entity
  1. Snehasis Das,
  2. Naveen Kumar Gaur,
  3. Oseen Hajilal Shaikh and
  4. Uday Shamrao Kumbhar
  1. Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
  1. Correspondence to Professor Uday Shamrao Kumbhar; k26uday74{at}yahoo.co.in

Abstract

Infestation of any dead or necrotic tissues by the larvae of flies (maggots) is myiasis. This form of habitation is not restricted to any particular tissues in the body and can occur anywhere. However, myiasis at the surgical stoma site is very rare. We present a 55-year-old woman diagnosed with metastatic carcinoma of the oesophagus who underwent feeding gastrostomy (FG). The patient later presented with worms at the FG site. We removed the FG tube, cleared all the maggots, thoroughly cleaned the wound and placed a new FG tube. Although its occurrences have been reported enough in medical history, there are only two documented cases of percutaneous endoscopic gastrostomy stoma site myiasis. Hence, we present the first case in the literature of cutaneous myiasis around an FG stoma site.

  • gastroenterology
  • stomach and duodenum
  • stomach wall
  • gastrointestinal surgery

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Footnotes

  • Contributors SD: Preparation of the manuscript. NKG: Data collection. OHS: Interpretation of the data. USK: Critical revision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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