The Malone Stoma With Antegrade Colonic Enemas for Chronic Constipation in Adults

Ganesh R. Deshmukh, Raymond Laird


The Malone stoma with antegrade colonic enemas (MACE) is a procedure predominantly described in the European literature for treatment of chronic constipation refractory to medical management. Chronic constipation may be secondary to colonic or rectal inertia, or a condition known as pelvic floor dysfunction. We describe a case of a 22-year-old female with chronic constipation secondary to severe rectal and colonic inertia. She had an unexpected congenital anatomic anomaly discovered intra-operatively which made a restorative proctocolectomy impossible. The MACE procedure was performed after an initial proctectomy with coloanal anastomosis, and the patient has now lived free of constipation for 6 years with an acceptable bowel regimen.

J Med Cases. 2013;4(11):762-764


Malone stoma; Chronic constipation; Antegrade colonic enema

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