Abstract
The number of ileostomies created for benign diseases such as familial adenomatous polyposis and ulcerative colitis is increasing. Long-term ileostomies are prone to develop various complications over time. Ileostomy site carcinoma is a well-established complication in ulcerative colitis and familial adenomatous polyposis that have undergone total colectomy. However, no case of ileostomy site carcinoma has been described in a patient with Hirschprung’s disease. We present the first case of adenocarcinoma at an ileostomy site in a patient with Hirschprung’s disease with retroviral disease.
Highlights
Adenocarcinoma at an ileostomy site is a very rare complication with only 41 cases reported in the literature worldwide
These cases are mostly seen in patients with longterm ileostomies such as ulcerative colitis and, more rarely, Crohn’s disease and familial adenomatous polyposis
We present the first ever case of ileostomy site carcinoma in a known case of Hirschprung’s disease with retroviral disease
Summary
Adenocarcinoma at an ileostomy site is a very rare complication with only 41 cases reported in the literature worldwide. These cases are mostly seen in patients with longterm ileostomies such as ulcerative colitis and, more rarely, Crohn’s disease and familial adenomatous polyposis. A 55-year old male patient of Indian origin presented to the Emergency Department with complaints of decreased stoma output, abdominal pain, distension and vomiting for two days. He had a history of Hirschprung’s disease for which he underwent a pull-through procedure at Day 10 of life along with a temporary transverse colostomy. The patient did not receive any adjuvant therapy and is asymptomatic after one year of follow up
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