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Two undesirable complications of a blowhole colostomy in left-sided colonic obstruction
  1. Bart Cornelis Theodorus van de Laar and
  2. Gabrielle Mirjam de Jong
  1. Hospital Gelderse Vallei, Ede, The Netherlands
  1. Correspondence to Dr Gabrielle Mirjam de Jong; mail{at}gabiedejong.com

Abstract

Two patients with an acute left-sided colonic obstruction had a successful decompression after construction of a blowhole transverse colostomy as a bridge to surgery. However, they presented with two rather unknown stoma-related complications during this bridging period. Patient A had a stomal prolapse with additional skin problems.

Patient B complained of abdominal discomfort during follow-up. The blowhole colostomy appeared to be stenotic. Stoma dilation and irrigation was initiated to prevent complete closure.

Definite resection of the left-sided obstruction and reversal of both blowhole colostomies was successful, and the patients recovered without further complications.

We hypothesise that incision size may be related to prolapse and stenosis rates and that eversion of the mucosa of the blowhole may reduce the risk of stomal stenosis.

  • gastrointestinal surgery
  • colon cancer
  • surgical oncology

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Footnotes

  • Contributors BCTvdL wrote and edited the manuscript with input from and with the supervision of GdJ.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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