• Anu Radha Twayana, Neela Sunuwar, Amrit Devkota, Aakrit Dahal, Rabindra Tamang, and Kushal Gautam.
• Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
• JNMA J Nepal Med Assoc. 2021 Jul 30; 59 (239): 709-711.

AbstractMyiasis is a skin infection caused by developing larvae (maggots) of various Diptera fly species. The two most frequent flies that cause human infestations around the world are Dermatobia hominis (human botfly) and Cordylobia anthropophaga (tumbu fly). Maggots have been found to infest the nose, ear, orbit, tracheostomy wound, face, gums, and serous cavities, among other places. Maggots at the colostomy site are an uncommon occurrence. We report a case of maggots infestation surrounding the colostomy site. We came across a rather rare finding in a patient with advanced inoperable rectum cancer who initially complained of persistent nonspecific pain, discomfort, and foul-smelling discharge from the colostomy site. The issue at hand was identified to be maggots, and their removal alleviated the patient's symptoms. We underline the importance of regularly monitoring stoma sites to avoid maggot infestation, especially in tropical regions.

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