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Unique case of herniated small bowel infarction within a colonic stomal prolapse
  1. Robert Lloyd Miller,
  2. Derek Yeung,
  3. Simon McCluney,
  4. Oliver J Warren
  1. Department of Colorectal Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Robert Lloyd Miller, robmiller90{at}


The number of permanent colostomies carried out in the United Kingdom is approximately 6400 per year1. Stomal prolapse is a known complication of colostomy formation. We presented the first case of small bowel herniation into a healthy stomal prolapse with subsequent ischaemia of the herniated bowel in a 102-year-old patient. This rare sequela of a relatively common stomal complication highlights an important consideration when faced with a large prolapse presenting acutely. It also raises an important discussion point for the management of our ever-ageing patient population.

  • geriatric medicine
  • general surgery

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  • Contributors RLM and DY: conception, planning, conduct, write-up. SMC: conduct and write-up. OJW: planning and manuscript review.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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