{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:36:55Z","timestamp":1782603415172,"version":"3.54.5"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,2,16]],"date-time":"2023-02-16T00:00:00Z","timestamp":1676505600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Parastomal evisceration is a very uncommon complication of a stoma, with only a few cases currently published in the literature. It may occur either early or late following either ileostomy or colostomy and has been reported in both the emergency and elective setting. The aetiology is likely multifactorial, but a few risk factors have been identified that predispose to its occurrence. Early recognition and prompt surgical evaluation is necessary, and management depends on patient, pathologic and environmental factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 50-year-old man with an obstructing rectal cancer underwent elective surgery for the creation of a temporary loop ileostomy prior to commencement of neoadjuvant chemotherapy (capecitabine and oxaliplatin). His background included obesity, alcohol excess and he was a current smoker. His postoperative course was complicated by a non-obstructing parastomal hernia which was managed non-operatively in the context of his neoadjuvant therapy. Seven months after his loop ileostomy and three days post his sixth cycle of chemotherapy, he presented to the emergency department with signs of shock and evisceration of small bowel via a dehiscence of the mucocutaneous junction at the superior aspect of the loop ileostomy. We discuss this unusual case of late parastomal evisceration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Parastomal evisceration is caused by a mucocutaneous dehiscence. Risk factors such as coughing, increased intra-abdominal pressure, emergency surgery, and stomal prolapse or hernia can all be predisposing factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Parastomal evisceration is a life-threatening complication that requires urgent assessment, resuscitation, and early referral to the surgical team for intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.107936","type":"journal-article","created":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T20:37:24Z","timestamp":1676666244000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Late parastomal evisceration"],"prefix":"10.1097","volume":"105","author":[{"given":"Sara","family":"Izwan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omattage Mahasha","family":"Perera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Guy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-2-20260318","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1055\/s-0037-1598160","article-title":"Stoma complications","volume":"30","author":"Krishnamurty","year":"2017","journal-title":"Clin. Colon Rectal Surg"},{"key":"R2-2-20260318","doi-asserted-by":"crossref","first-page":"25","DOI":"10.23922\/jarc.2019-032","article-title":"Current management of intestinal stomas and their complications","volume":"4","author":"Tsujinaka","year":"2020","journal-title":"J. Anus Rectum Colon"},{"key":"R3-2-20260318","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1055\/s-0033-1348050","article-title":"Avoidance and management of stomal complications","volume":"26","author":"Kwiatt","year":"2013","journal-title":"Clin. Colon Rectal Surg"},{"key":"R4-2-20260318","doi-asserted-by":"crossref","first-page":"e103","DOI":"10.1308\/rcsann.2015.0017","article-title":"Parastomal evisceration as an extremely rare complication of a common procedure","volume":"97","author":"Lolis","year":"2015","journal-title":"Ann. R. Coll. Surg. Engl"},{"key":"R5-2-20260318","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical Case Report (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R6-2-20260318","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1111\/j.1463-1318.2007.01386.x","article-title":"Small bowel evisceration: a rare complication of laparoscopic ileostomy","volume":"10","author":"Fitzgerald","year":"2008","journal-title":"Color. Dis"},{"key":"R8-2-20260318","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1111\/j.1445-2197.1995.tb00566.x","article-title":"Complications of an abdominal stoma: an analysis of 322 stomas","volume":"65","author":"Cheung","year":"1995","journal-title":"Aust. N. Z. J. Surg"},{"key":"R9-2-20260318","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1590\/S2237-93632011000400014","article-title":"Complication related to colostomy orifice: intestinal evisceration","volume":"31","author":"Salles","year":"2011","journal-title":"J. Coloproctol"},{"key":"R11-2-20260318","doi-asserted-by":"crossref","first-page":"e379","DOI":"10.1177\/000313481708300915","article-title":"Parastomal evisceration: rare complication after total abdominal colectomy","volume":"83","author":"Arbra","year":"2017","journal-title":"Am. 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Surg"},{"key":"R15-2-20260318","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1007\/s10029-014-1259-z","article-title":"Strangulated ileostomy evisceration following lateralizing mesh repair of parastomal hernia","volume":"20","author":"Ramly","year":"2016","journal-title":"Hernia"},{"key":"R16-2-20260318","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1111\/j.1463-1318.2009.01900.x","article-title":"Small bowel evisceration by rupture of prolapsed loop ileostomy","volume":"12","author":"Park","year":"2010","journal-title":"Color. Dis"},{"key":"R17-2-20260318","first-page":"214","article-title":"Parastomal intestinal evisceration","volume":"11","author":"Moffett","year":"2010","journal-title":"West. J. Emerg. 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