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- HOME > J Korean Soc Coloproctol > Volume 15(4); 1999 > Article
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Original Article
- A Parastomal Hernia Causing Small Bowel Obstruction.
- Lee, Seung Hoon , Jeon, Hae Myung , Kim, Jeong Soo , Kim, Kee Hwan , Oh, Seong Taek , Chae, Hun Suk
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Journal of the Korean Society of Coloproctology 1999;15(4):345-349
2Department of Internal Medicine, Uijongbu St, Mary's Hospital College of Medicine, The Catholic University of Korea, Korea.
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Abstract
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.
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