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: DRHAMADAA@ICLOUD.COM

Summary

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):***

DOI: http://dx.doi.org/10.4314/aas.v16i1.*

Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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