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Incarcerated Stomach in a Parastomal Hernia


Abdelwahed Ahmed
Sochorova Dana
El-Hakim Hisham
Hassan Malek
Zach Rudolf

Abstract

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


Journal Identifiers


eISSN: 2523-0816
print ISSN: 1999-9674