PMC5711666_01
A contrast enema study revealed an apple core sign (arrow) at the splenic flexure of the colon (a) and CT revealed a thickened wall (arrow) at the splenic flexure of the transverse colon and dilatation of the proximal colon (b).
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A contrast enema study revealed an apple core sign at the splenic flexure of the colon, and computed tomography (CT) revealed a thickened wall at the splenic flexure of the transverse colon and dilatation of the proximal colon (Fig. 1).
Stoma prolapse occurred with congestion of its wall.
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Six months after surgery, manually irreducible stoma prolapse occurred again and needed surgical intervention (Fig. 2).
A full-thickness circumferential incision was made on the bowel 1-2 cm from the mucocutaneous junction (a). The prolapsed bowel was excised and an anastomosis was performed (b).
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We performed stomaplasty with full thickness bowel resection, which is similar to the Altemeier procedure (Fig. 3).
Abdominal X-ray visualized dilatation of remnant colon with fecal mass (a) and CT revealed prolapsed colostomy (b) and dilatation of oral side of the colon (c).
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Eight months after stomaplasty, stoma prolapse recurred with evident bowel dilatation (Fig. 4).