Gastric Herniation as a Complication of Transverse Colostomy

Figiel, Leo S.; Figiel, Steven J.

doi:10.1148/88.5.995

Cited by 7 publications

(6 citation statements)

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“…Mostly, all the GPH patients present with the partial or complete gastric outlet obstruction [7]. Patients with the partial obstruction usually present with the symptoms including mild to moderate abdominal pain, nausea, vomiting, and signs of the obstruction, while strangulation, irreducible hernia, perforated stomach, gastric emphysema, and septicemia are most likely in patients with complete and incarcerated hernia [9]. The patient in the current case report presented with moderate abdominal discomfort, nausea, vomiting, and abdominal distension, which suggested the partial obstruction of the stomach.…”

Section: Discussionmentioning

confidence: 99%

Gastric Parastomal Hernia: A Case Report of a Rare yet Fascinating Clinical Entity

Waheed¹,

Zeller

Bishop

et al. 2019

Cureus

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A 58-year-old female with the prior history of diabetes mellitus (DM) presented with nausea, malaise, and abdominal pain of two days duration. Also, in the past, she was treated for a necrotized rectum from a retroperitoneal infection leading to a colostomy in the left lower quadrant (LLQ) of the abdomen. The physical examination findings were highly suggestive for a parastomal hernia. As a part of her workup and treatment, the initial abdominal CT demonstrated the presence of the gastric contents into the hernia sac leading to the gastric obstruction. The patient responded well to the conservative management using nasogastric (NG) suction, intravenous (IV) line maintenance, clinical assessment, frequent vital sign monitoring, and initiating the nothing per oral (NPO) regimen. Following the successful conservative approach, the patient opted to undergo surgical treatment in the future. This case report and associated literature search represent a rare case of a parastomal hernia with protruding gastric contents, which was successfully treated with conservative management.

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Section: Discussionmentioning

confidence: 99%

Gastric Parastomal Hernia: A Case Report of a Rare yet Fascinating Clinical Entity

Waheed¹,

Zeller

Bishop

et al. 2019

Cureus

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“…Bibliographic analysis helped authors identify two further manuscripts. In total, 12 other case reports of gastric parastomal herniation were identified from 11 previous publications ( Table 1 ) [ [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] ].…”

Section: Discussionmentioning

confidence: 99%

Parastomal stomach herniation complicated by gastric outlet obstruction: A case report and literature review

Eastment

Burstow

2018

International Journal of Surgery Case Reports

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“…The mainly contents presents inside of the hernia sac include omentum, small bowel and colon. The presence of the stomach inside a PH is exceptionally rare with only a few published cases in international literature (Table 1 ) [ 1 – 9 ]. To the best of our knowledge, the patient presented in this publication represents only the 10th case described.…”

Section: Discussionmentioning

confidence: 99%

“…The presence of the stomach inside of PH causing a gastric outlet obstruction is an exceptional finding. To the best of our knowledge there are only nine cases described to date in worldwide literature [ 1 – 9 ]. The aim of this report is to describe a case of gastric outlet obstruction due to stomach incarceration inside of the PH successfully treated by an onlay repair with a polypropylene mesh placed by the site of the ostomy.…”

Section: Introductionmentioning

confidence: 99%

Paraestomal hernia with gastric outlet obstruction: a case report and literature review

Andrade

Coy

Fagundes

et al. 2018

Journal of Surgical Case Reports

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An 69-year-old obese woman was submitted to an abdominoperineal resection (APR) with left side end colostomy to treat a synchronic sigmoid and middle rectum cancer. Six months after APR, she develop a PH with a progressive increase of the size. The patient refused the surgical indication. Thirteen years after APR she presenting with abdominal pain, hematemesis, bilious vomiting and non-functioning of the stoma in the last 2 days. She had a distended and painful abdomen without signs of peritoneal irritation and a large incarcerated PH. CT showed a PH with incarcerated gastric herniation. Endoscopy showed a 4 cm ulcerated lesion in the lesser curvature of the stomach whose posteriorly histopathological study revealed that it was an ischemic ulcer. She was submitted a correction of PH using an onlay polypropylene mesh put around of the previous stoma. The patient has an uneventful recovery and was discharged 3 days later.

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Gastric Herniation as a Complication of Transverse Colostomy

Cited by 7 publications

References 0 publications

Gastric Parastomal Hernia: A Case Report of a Rare yet Fascinating Clinical Entity

Gastric Parastomal Hernia: A Case Report of a Rare yet Fascinating Clinical Entity

Parastomal stomach herniation complicated by gastric outlet obstruction: A case report and literature review

Paraestomal hernia with gastric outlet obstruction: a case report and literature review

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