Authors: Arnetta Naomi Louise Lalisang , Patricia Rosalind Ismantara , Nathaniel Jason Zacharia , Indah Jamtani

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Article Info

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Abstract

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Background: Stoma is made for various indications and the closure is performed with open surgery once the indication is resolved. The case of spontaneous stoma closure rarely happens. Case presentation: In this case report, we present a 62-year-old male with a malignant rectal tumor who experienced spontaneous closure of a stoma. Laparotomy adhesiolysis exteriorization of the sigmoid and transverse colon was made with distended with tenderness all over the abdominal area as the indication. After nine months, the indication was resolved, stoma closure was planned, but the right-sided stoma was closed. Left stoma closure was performed. The patient is currently stable now. Conclusion: Spontaneous stoma closure can be considered the outcome of progressive stoma retraction followed by healing of the mucocutaneous fistula. In this case, we report the benefit of spontaneous stomal closure, no complications were found from stoma closure, and the primary goal of stoma placement was achieved. Management of spontaneous stoma closure can be done conservatively after carrying out a comprehensive examination to rule out possible complications. We report the usefulness of endoscopy and looposcopy in achieving these goals.

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Keywords: Stoma, spontaneous stoma closure, colon, green

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