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Techniques in Coloproctology
Published in: Techniques in Coloproctology 3/2012

01-06-2012 | Short Communication

3D intrastomal ultrasonography, an instrument for detecting stoma-related fistula

Authors: U. Gunnarsson, K. Strigård

Published in: Techniques in Coloproctology | Issue 3/2012

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Abstract

Background

The aim of the present study was to evaluate the recently developed 3D intrastomal ultrasonography in diagnosing stoma-associated complaints and suspected complications after parastomal hernia repair such as peristomal fistula and abscesses.

Methods

3D intrastomal ultrasonography was used to image peristomal tissue in two patients with complaints after parastomal hernia repair performed with IPOM (intraperitoneal onlay mesh). One patient had ulcerative colitis and one Crohn’s disease. Both patients were investigated because of pain and in one case also signs of a subcutaneous abscess.

Results

Intrastomal ultrasonography revealed fistulas connected to the intestinal segment leading to the stoma in both cases. Both cases also showed signs of a fistula descending to the abdominal cavity. In one case, a subcutaneous abscess was identified and in the other a small abscess adjacent to the fistula and the edge of the fascia.

Conclusions

Stoma complaints after surgery for parastomal hernia with implantation of IPOM mesh can be diagnosed using 3D intrastomal ultrasonography. This new 3D technique for imaging intrastomal hernia can be used to complement traditional methods in the detection of stoma-associated abscesses and fistulas with or without foreign material such as mesh.
Literature
1.
Gurmu A, Gunnarsson U, Strigård K (2011) Imaging of parastomal hernia using three-dimensional intrastomal ultrasonography. Br J Surg 98:1026–1029PubMedCrossRef
2.
Gurmu A, Matthiessen P, Nilsson S, Påhlman L, Rutegård J, Gunnarsson U (2011) The inter-observer reliability is very low at clinical examination of parastomal hernia. Int J Colorect Dis 26:89–95CrossRef
3.
Cingi A, Cakir T, Sever A, Aktan AO (2006) Enterostomy site hernias: a clinical and computerized tomographic evaluation. Dis Colon Rectum 49:1559–1563PubMedCrossRef
4.
Sjödahl RI, Thorelius L, Hallböök OJ (2011) Ultrasonographic findings in patients with peristomal bulging. Scand J Gastroenterol 46:745–749PubMedCrossRef
5.
Sjödahl R, Anderberg B, Bolin T (1988) Parastomal hernia in relation to site of the abdominal wall. Br J Surg 75:339–341PubMedCrossRef
6.
Goligher JC (1985) Surgery of the anus, rectum and colon, 5th edn. Bailliere Tindall, London, pp 703–704
7.
8.
Steele S, Lee P, Martin M, Mullenix P, Sullivan E (2003) Is parastomal hernia repair with polypropylene mesh safe? Am J Surg 185:436–440PubMedCrossRef
9.
Toy F, Bailey R, Carey S et al (1998) Prospective, multicenter study of laparoscopic ventral hernioplasty. Preliminary results. Surg Endosc 12:955–959PubMedCrossRef
10.
Stelzner S, Hellmich G, Ludwig K (2004) Repair of paracolostomy hernias with a prosthetic mesh in the intraperitoneal onlay position: modified Sugarbaker technique. Dis Colon Rectum 47:185–191PubMedCrossRef
11.
LeBlanc K, Bellanger D, Whitaker J, Hausman M (2005) Laparoscopic parastomal hernia repair. Hernia 9:140–144PubMedCrossRef
12.
Aldridge A, Simson J (2001) Erosion and perforation of colon by synthetic mesh in a recurrent paracolostomy hernia. Hernia 5:110–112PubMedCrossRef
13.
Santoro G, Fortling B (2007) The advantages of volume rendering in three-dimensional endosonography of the anorectum. Dis Colon Rectum 50:359–368PubMedCrossRef
14.
Kim Y, Park Y (2009) Three-dimensional endoanal ultrasonography assessment of an anal fistula with and without H2O2 enhancement. World J Gastroenterol 14:4810–4815CrossRef
15.
El Mouhadi S, Tourabi C, Cazejust J, Azizi L, Menu Y, Arrivé L (2011) CT and MRI features of ileostomies. AJR 196:577–584PubMedCrossRef
16.
Greenstein A, Dicker A, Meyers S, Aufses A (1983) Periileostomy fistulae in Crohn’s disease. Ann Surg 197:179–182PubMedCrossRef
Metadata
Title
3D intrastomal ultrasonography, an instrument for detecting stoma-related fistula
Authors
U. Gunnarsson
K. Strigård
Publication date
01-06-2012
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 3/2012
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-012-0821-x

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