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Case Reports
. 2017 Jun 22;12(3):508-510.
doi: 10.1016/j.radcr.2017.05.009. eCollection 2017 Sep.

Parastomal gallbladder hernia in a septic patient

Joseph Frankl  1 , Maria Michailidou  2 , Felipe Maegawa  2   3
Affiliations
Case Reports

Parastomal gallbladder hernia in a septic patient

Joseph Frankl et al. Radiol Case Rep. .

Abstract

Parastomal gallbladder herniation is a rare complication of enterostomies with only 6 previously reported cases. Most cases have occurred in elderly women. Patients typically presented with acute abdominal pain and the majority was managed operatively. Here, we report the clinical course of an 88-year-old female who presented with signs of sepsis and minimal abdominal symptoms. She was subsequently found to have a parastomal gallbladder herniation and Klebsiella pneumoniae bacteremia. Given the patient's multiple comorbidities, she was managed nonoperatively with manual reduction of the parastomal hernia and antibiotics.

Keywords: Colostomy; Gallbladder; Hernia; Parastomal hernia; Visceroptosis.

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Figures

Fig. 1
Fig. 1
(A) Sagittal computed tomography (CT): contrast enhanced CT showing a thick-walled and chronically inflamed-appearing gallbladder in the parastomal defect (arrows). (B) Axial CT: gallbladder extending into the parastomal defect (arrows).
See this image and copyright information in PMC

References

    1. Temple B., Farley T., Popik K., Ewanyshyn C., Beyer E., Dufault B. Prevalence of parastomal hernia and factors associated with its development. J Wound Ostomy Continence Nurs. 2016;43:489–493. - PubMed
    1. Brandsma H.-T., Hansson B.M.E., Aufenacker T.J., van Geldere D., Lammeren F.M.V., Mahabier C. Prophylactic mesh placement during formation of an end-colostomy reduces the rate of parastomal hernia: short-term results of the Dutch PREVENT-trial. Ann Surg. 2017;265:663–669. - PubMed
    1. Funahashi K., Suzuki T., Nagashima Y., Matsuda S., Koike J., Shiokawa H. Risk factors for parastomal hernia in Japanese patients with permanent colostomy. Surg Today. 2014;44:1465–1469. - PMC - PubMed
    1. Garcia R.M., Brody F., Miller J., Ponsky T.A. Parastomal herniation of the gallbladder. Hernia J Hernias Abdom Wall Surg. 2005;9:397–399. - PubMed
    1. To H., Brough S., Pande G. Case report and operative management of gallbladder herniation. BMC Surg. 2015;15:72. - PMC - PubMed

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