Which of the following is a stoma complication?

• A. Stoma trauma
• B. Peristomal hernia
• C. Prolapse
• D. Pouchitis

Answer: (A)

The main idea is recognizing problems that involve the stoma itself or the skin around it. Stoma trauma is a recognized complication because it directly affects the stoma and its surrounding tissue.

Stoma trauma means the stoma or peristomal area has been injured by external forces or irritation—such as a rubbing, ill-fitting appliance, harsh cleaning, or accidental impact. This can cause skin breakdown, redness, ulcers, bleeding, or edema around the stoma, and it can compromise the seal and healing. Because the issue is direct damage to the stoma or its immediate surroundings, it’s classified as a stoma-related complication.

Pouchitis, by contrast, is inflammation of the ileal pouch and is not a direct problem with the stoma itself. Peristomal hernia and prolapse are also complications related to the stoma, but the option highlighted here is focusing on trauma as a specific stoma-related injury. Proper fitting appliances, gentle care, and protective barriers help prevent stoma trauma, while any signs of damage should be addressed promptly to protect the stoma and surrounding skin.