Non-healing parastomal ulcer: think nicorandil.

Abstract

A 72‐year‐old man presented to regional surgical outpatients with a 3‐month history of a painful, enlarging parastomal ulcer. The ulceration appeared to be precipitated following a stroke with a traumatic fall onto his stoma. Significantly, the patient had attended the hospital's experienced stoma nurse for a general stoma check 2 weeks prior to his fall, with both stoma and peristomal skin in perfect condition. Subsequently, the ulceration had progressed around the lateral border of the stoma, surrounded by well‐circumscribed borders and a sloughy base with concomitant intermittent full‐thickness skin loss (Fig. 1).