Incarcerated Stomach in a Parastomal Hernia

Abdelwahed Ahmed, Sochorova Dana, El-Hakim Hisham, Hassan Malek, Zach Rudolf
Queen Elizabeth Hospital, King’s Lynn, United Kingdom of Great Britain and Northern Ireland

Correspondence to: Dr. Ahmed Abdelwahed; 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 excellent recovery and had no post- operative complications.

 

Keywords: Parastomal hernia, Stomach

Ann Afr Surg. 2020; 17(3):132–133

DOI: http://dx.doi.org/10.4314/aas.v17i3.10

Conflicts of Interest: None

Funding: None

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

Submitted: 24 July 2019

Revised: 4 December 2019

Accepted: 28 January 2020

Online first: 29 May 2020

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