Mahendra Singh Gond, MBBS, MS, Assistant Professor; Hari Krishna Damde, MBBS, MS, Assistant Professor; Pawan Agarwal, MS, MCh, PhD, Associate Professor; and Professor Dhananjaya Sharma, MS, PhD, DSc, FRCST (Hon), Head, Department of Surgery, Government NSCB Medical College, Jabalpur (MP), India
The problem. A stoma can be created to divert the fecal stream. Although they are common, stomas carry a significant complication rate, ranging from 10% to 70%.1 Complications can occur early (1 month post-operatively, incidence varies from 6% to 76%).2-5 Common complications include vascular compromise (incidence 2.3% to 17%), retraction (incidence 3% to 17%), peristomal skin irritation (incidence 3% to 42%), infection/abscess/fistula (incidence 2% to 14.8%), parastomal herniation (incidence 2.3% to 17%.), and stomal stenosis and bowel obstruction (incidence 2% to 14%.).2-5 Bowel obstruction usually is caused by adhesions inside the peritoneal cavity or in the abdominal wall or by stomal stenosis in the actual stoma. We present a rare case of stomal obstruction due to compression by adherent stoma appliance.