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Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice

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Maggots Around Colostomy Site: A Case Report.

Anu Radha Twayana¹, Neela Sunuwar², Amrit Devkota³

¹Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.

JNMA; Journal of the Nepal Medical Association

|September 11, 2021

Summary

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Maggots, or fly larvae, can cause skin infections. This case highlights an unusual maggot infestation at a colostomy site in a patient with advanced rectal cancer, emphasizing stoma site monitoring.

Area of Science:

Medical Entomology
Parasitology
Clinical Case Reports

Background:

Myiasis is a parasitic infestation caused by dipteran fly larvae (maggots).
Commonly implicated species include Dermatobia hominis (human botfly) and Cordylobia anthropophaga (tumbu fly).
Maggots typically infest various body sites, but colostomy sites are rarely affected.

Observation:

A patient with advanced, inoperable rectal cancer presented with nonspecific pain, discomfort, and foul-smelling discharge from their colostomy site.
Upon examination, the cause of the symptoms was identified as a maggot infestation surrounding the colostomy.

Findings:

The infestation was successfully treated by the removal of the maggots.
The patient's symptoms, including pain and discharge, were alleviated post-removal.

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Implications:

This case underscores the importance of vigilant monitoring of stoma sites, particularly in tropical regions.
Early detection and management of myiasis at stoma sites can prevent patient discomfort and complications.
Healthcare providers should consider myiasis in patients presenting with unusual symptoms at stoma sites.