Asian Journal of Case Reports in Surgery

Successful Osmotic Reduction of Prolapsed Stoma Using Table Sugar: A Case Report

Mounir Bouali

Department of Visceral Surgical Emergency, University of Hassan II Casablanca, CHU Ibn Rochd, Casablanca, Morocco.

Karim Yaqine *

Department of Visceral Surgical Emergency, University of Hassan II Casablanca, CHU Ibn Rochd, Casablanca, Morocco.

Abdelilah Elbakouri

Department of Visceral Surgical Emergency, University of Hassan II Casablanca, CHU Ibn Rochd, Casablanca, Morocco.

Khalid Elhattabi

Department of Visceral Surgical Emergency, University of Hassan II Casablanca, CHU Ibn Rochd, Casablanca, Morocco.

Fatimazahra Bensardi

Department of Visceral Surgical Emergency, University of Hassan II Casablanca, CHU Ibn Rochd, Casablanca, Morocco.

Abdelaziz Fadil

Department of Visceral Surgical Emergency, University of Hassan II Casablanca, CHU Ibn Rochd, Casablanca, Morocco.

*Author to whom correspondence should be addressed.

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Abstract

Stoma prolapse is a well-described complication after ileostomy or colostomy, it is typically asymptomatic and easily reduced. Acute incarceration of a prolapsed stoma is a rare event and a surgical emergency. In the presence of a prolapse, a very edematous one, the application of table sugar on the prolapsed segment for a few minutes reduces the edema by osmotic effect and causes or facilitates the reduction.

This case reports the successful application of sugar to a 45-year-old woman to reduce a prolapsed colostomy, eliminating the need for urgent surgery.

Successful reduction can prevent an emergent operation, allowing for medical optimization and elective surgical treatment if necessary.

Keywords: Sugar, incarcerated, colostomy, stomal prolapse

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