| A Parastomal Hernia Causing Small Bowel Obstruction. |
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Lee, Seung Hoon , Jeon, Hae Myung , Kim, Jeong Soo , Kim, Kee Hwan , Oh, Seong Taek , Chae, Hun Suk |
1Department of Surgery, Uijongbu St, Mary's Hospital College of Medicine, The Catholic University of Korea, Korea.
2Department of Internal Medicine, Uijongbu St, Mary's Hospital College of Medicine, The Catholic University of Korea, Korea. |
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| Abstract |
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A parastomal hernia is an incisional hernia in relation to an intestinal stoma on the abdominal wall and a common complication after stoma formation. Most parastomal hernias are relatively asymptomatic, but sometimes, a loop of bowel may become trapped in the sac, resulting in obstruction or strangulation. We reported a case with a para-colostomy hernia causing small bowel obstruction in a 45-years-old female who had had a transverse loop colostomy for severe rectovaginal fistula 2 years before due to recurrent cervix cancer. The patient required resection of gangrenous portions of small bowel and large bowel. A review of the preventative information of parastomal hernia and management is discussed. A parastomal hernia shonld be considered as a cause of small bowel obstruction in anyone who has a stoma.
Early detection and repair of the strangulated hernia are recommended. |
| Key Words:
Parastomal hernia; Bowel obstruction |
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