Skin breakdown from ostomy leakage in a patient with short bowel syndrome

Peristomal skin breakdown (contact dermatitis) and Candida rash from ostomy leakage in a 9-year-old male with short bowel syndrome secondary to jejunal volvulus. A functional ileostomy is seen on the right (medial), and a defunctionalized mucous fistula is on the left (lateral). Treatment options consisted of soaks, antifungal powder, barrier wipes, high-absorbency dressings, border dressings, hydrocortisone ointment, and systemic or topical antifungal therapy in collaboration with a specialized wound care team.