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Case Reports
. 2023 Jun 19;2023(6):rjad204.
doi: 10.1093/jscr/rjad204. eCollection 2023 Jun.

Parastomal hernia containing the stomach-a rare complication

Chris Bodimeade  1 , Rebekka Troller  2
Affiliations
Case Reports

Parastomal hernia containing the stomach-a rare complication

Chris Bodimeade et al. J Surg Case Rep. .

Abstract

A lady in her 70s presented to hospital with sudden onset nausea and excessive vomiting. She had a constant and worsening abdominal pain that radiated to the back but was focused on her stoma in the left iliac fossa. The patient had bilateral hernias and colostomy following a Hartman's procedure for perforated diverticulosis in 2018 and had presented twice before in the last 6 months with similar symptoms. CT abdomen pelvis showed a large portion of the stomach in the parastomal hernia leading to a narrowing of the stomach at the hernia neck but no ischaemic changes. She was diagnosed with bowel obstruction and successfully treated with fluid resuscitation, proton pump inhibitors, analgesia, antiemetics and decompression of the stomach using large bore nasogastric tube. A total of 2600 ml fluid was aspirated in 24 h and her stoma restarted normal output. After 10 days she was discharged home.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
CT abdomen pelvis—coronal view of parastomal hernia containing stomach.
Figure 2
Figure 2
CT abdomen pelvis—axial view of parastomal hernia containing stomach.
See this image and copyright information in PMC

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