Stomach in a parastomal hernia: a rare complication of stomas

Parastomal hernia (PSH) is one of the most known complications to end colostomies. However, PSH containing the stomach is rare: not many case reports were found in literature search. This case is a 92-year-old woman who was brought in by ambulance to the accident and emergency department with vomiti...

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Bibliographic Details
Published in:BMJ case reports 2020-08, Vol.13 (8), p.e234325
Main Authors: Ekowo, Onyekachi Ezekiel, Al Midani, Ammar, Abdulaal, Yasser, Boshnaq, Mohamed
Format: Article
Language:English
Subjects:
Abdomen
Age
Aged, 80 and over
Case reports
Colostomy - adverse effects
Drainage - methods
Female
Frail Elderly
Frailty
Gastric Outlet Obstruction - diagnostic imaging
Gastric Outlet Obstruction - etiology
Gastric Outlet Obstruction - therapy
Hernia - diagnostic imaging
Hernia - etiology
Hernia - therapy
Hernias
Humans
Intubation, Gastrointestinal
Medical imaging
Older people
Ostomy
Postoperative Complications - diagnostic imaging
Postoperative Complications - etiology
Postoperative Complications - therapy
Prostheses
Rare Disease
Stomach
Surgeons
Surgery
Surgical Stomas - adverse effects
Tomography, X-Ray Computed
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Summary:Parastomal hernia (PSH) is one of the most known complications to end colostomies. However, PSH containing the stomach is rare: not many case reports were found in literature search. This case is a 92-year-old woman who was brought in by ambulance to the accident and emergency department with vomiting, abdominal distension, palpable mass on the left side of her abdomen and with reduced stoma effluent. Her abdominal CT scan showed a PSH containing a partially incarcerated gastric hernia. Although there are only few similar cases of PSH containing the stomach reported in the literature, an almost similar pattern in presentation of this unique case can be deduced following a thorough comparison of cases in the literature, which can be quite helpful both academically and clinically: they are often advanced in age and are usually women with end colostomies.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2020-234325