Hammad et al. Journal of Medical Case Reports 2011, 5:556 http://www.jmedicalcasereports.com/content/5/1/556 Nevertheless, it is expected that the numbers will increase in longstanding ileostomies in parallel with the duration of the stoma. Patient education and medical examination of the stoma should be implemented early with the need of designing a surveillance protocol for early detection and management of ileal adenomas, especially in longstanding stomas. Surgery should include an en bloc resection of the ileum with a gener- ous margin of the surrounding skin and relocation of the stoma. Consent Written informed consent was obtained from the patient for publication of this case report and any accompany- ing images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Abbreviations EGD: esophagogastroduodenoscopy; FAP: familial adenomatous polyposis. 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Surgery 2009, 145:337-338. doi:10.1186/1752-1947-5-556 Cite this article as: Hammad et al.: Primary adenocarcinoma in the ileostomy of a woman with familial adenomatous polyposis: a case report and literature review. Journal of Medical Case Reports 2011 5:556. Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission • Thorough peer review • No space constraints or color ﬁgure charges • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit