Ai W, Liang ZH, Liu B. Incisional mesh hernioplasty following spontaneous stoma closure: A case report. World J Gastroenterol 2026; 32(26): 119212 [DOI: 10.3748/wjg.v32.i26.119212]
Corresponding Author of This Article
Bo Liu, PhD, Clinical Assistant Professor (Honorary), Department of Gastrointestinal Surgery, The First Affiliated Hospital of Shandong First Medical University, No. 16766 Jingshi Road, Jinan 250016, Shandong Province, China. liubo200073@aliyun.com
Research Domain of This Article
Gastroenterology & Hepatology
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case-report
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Ai W, Liang ZH, Liu B. Incisional mesh hernioplasty following spontaneous stoma closure: A case report. World J Gastroenterol 2026; 32(26): 119212 [DOI: 10.3748/wjg.v32.i26.119212]
World J Gastroenterol. Jul 14, 2026; 32(26): 119212 Published online Jul 14, 2026. doi: 10.3748/wjg.v32.i26.119212
Incisional mesh hernioplasty following spontaneous stoma closure: A case report
Wen Ai, Zhi-Hua Liang, Bo Liu
Wen Ai, Zhi-Hua Liang, Bo Liu, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Shandong First Medical University, Jinan 250016, Shandong Province, China
Author contributions: Ai W was responsible for writing original draft, and investigation; Liang ZH was responsible for data curation and visualization; Liu B was responsible for supervision, validation, and writing; all authors have read and approved the final version to be published.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Bo Liu, PhD, Clinical Assistant Professor (Honorary), Department of Gastrointestinal Surgery, The First Affiliated Hospital of Shandong First Medical University, No. 16766 Jingshi Road, Jinan 250016, Shandong Province, China. liubo200073@aliyun.com
Received: January 22, 2026 Revised: February 17, 2026 Accepted: March 30, 2026 Published online: July 14, 2026 Processing time: 156 Days and 10.6 Hours
Abstract
BACKGROUND
Loop stoma is usually used to divert the fecal stream, with the aim of protecting the downstream anastomosis or allowing sufficient time for the repaired perforation site to heal. It is usually reversed once the purpose of its creation is served. Spontaneous stoma closure is a rare phenomenon, and its mechanism remains unclear. The factors contributing to this phenomenon encompass stoma retraction and the healing process of enterocutaneous fistula.
CASE SUMMARY
We present a case of mesh hernioplasty after the spontaneous closure of a transverse loop colostomy. This is the third case of spontaneous closure of loop colostomy and the first reported case of mesh hernioplasty following the spontaneous stoma closure in the English literature.
CONCLUSION
Spontaneous stoma closure is rare. Long-term follow-up is recommended to detect the development of incisional hernia at an early stage.
Core Tip: Spontaneous stoma closure is a rare phenomenon, and its mechanism remains unclear. The factors contributing to this phenomenon encompass stoma retraction and the healing process of enterocutaneous fistula. We present a case of incisional mesh hernioplasty after spontaneous closure of a transverse loop colostomy. This is the first reported case in the English literature of mesh hernioplasty following spontaneous stoma closure. Although spontaneous stoma closure may avoid a second operation, clinicians should pay attention to the long-term complications such as incisional hernia formation.
