Incarcerated stomach in a parastomal hernia: A rare but important differential in the diagnosis of Upper gastrointestinal bleeding
Abdelwahed Ahmed, Sochorova Dana, El-Hakim Hisham, Hassan Malek, Zach Rudolf
King’s Lynn, United Kingdom of Great Britain and Northern Ireland
Correspondence to: Dr. Ahmed Abdelwahed, 2 Elsing Drive Kings Lynn PE30 3UT, United Kingdom; email:
Parastomal hernia is a rare cause of upper gastrointestinal bleeding. We present a case of an 82-year-old lady who presented with a one-month history of abdominal pain associated with coffee ground vomiting and intermittent melena. Gastroscopy showed bleeding from pyloric canal without a definite lesion. Abdominal CT showed herniation of the pre-pyloric and pyloric regions of the stomach into the hernial sac. She underwent a laparoscopic repair with extensive adhesiolysis, reduction of stomach, approximation of defect and placement of a mesh. She made an excellent recovery and had no post-operative complications.
Key words: Parastomal hernia, Stomach
Ann Afr Surg. 2020; 17(3):***
Conflicts of Interest: None
© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.