ArticleJournal of surgical case reports2026
Stapler-assisted extracorporeal revision for non-reducible prolapse of the efferent limb of a loop colostomy in advanced pelvic malignancy.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Ostomy prolapse can occur with any type of ostomy. Although it may be only a cosmetic concern in some patients, it can also lead to significant morbidity, including strangulation and bowel obstruction. We describe the case of a 47-year-old female with recurrent mucinous ovarian carcinoma, ~65 months after her initial diagnosis. She presented with large bowel obstruction caused by a 17 cm pelvic recurrence in the setting of platinum-resistant disease after her third course of chemotherapy. A diverting loop colostomy was performed. Three months later, she developed a large prolapse of the efferent limb, preventing proper ostomy appliance placement and significantly affecting quality of life. Conservative reduction attempts were unsuccessful. After informed consent, the patient underwent extracorporeal revision using gastrointestinal staplers. This minimally invasive approach avoided a major abdominal operation and allowed faster postoperative recovery, an important consideration given her advanced disease and palliative clinical setting.
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