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Parastomal hernia containing the stomach—a rare complication
A lady in her 70s presented to hospital with sudden onset nausea and excessive vomiting. She had a constant and worsening abdominal pain that radiated to the back but was focused on her stoma in the left iliac fossa. The patient had bilateral hernias and colostomy following a Hartman’s procedure for...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10279511/ https://www.ncbi.nlm.nih.gov/pubmed/37342521 http://dx.doi.org/10.1093/jscr/rjad204 |
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author | Bodimeade, Chris Troller, Rebekka |
author_facet | Bodimeade, Chris Troller, Rebekka |
author_sort | Bodimeade, Chris |
collection | PubMed |
description | A lady in her 70s presented to hospital with sudden onset nausea and excessive vomiting. She had a constant and worsening abdominal pain that radiated to the back but was focused on her stoma in the left iliac fossa. The patient had bilateral hernias and colostomy following a Hartman’s procedure for perforated diverticulosis in 2018 and had presented twice before in the last 6 months with similar symptoms. CT abdomen pelvis showed a large portion of the stomach in the parastomal hernia leading to a narrowing of the stomach at the hernia neck but no ischaemic changes. She was diagnosed with bowel obstruction and successfully treated with fluid resuscitation, proton pump inhibitors, analgesia, antiemetics and decompression of the stomach using large bore nasogastric tube. A total of 2600 ml fluid was aspirated in 24 h and her stoma restarted normal output. After 10 days she was discharged home. |
format | Online Article Text |
id | pubmed-10279511 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-102795112023-06-20 Parastomal hernia containing the stomach—a rare complication Bodimeade, Chris Troller, Rebekka J Surg Case Rep Case Report A lady in her 70s presented to hospital with sudden onset nausea and excessive vomiting. She had a constant and worsening abdominal pain that radiated to the back but was focused on her stoma in the left iliac fossa. The patient had bilateral hernias and colostomy following a Hartman’s procedure for perforated diverticulosis in 2018 and had presented twice before in the last 6 months with similar symptoms. CT abdomen pelvis showed a large portion of the stomach in the parastomal hernia leading to a narrowing of the stomach at the hernia neck but no ischaemic changes. She was diagnosed with bowel obstruction and successfully treated with fluid resuscitation, proton pump inhibitors, analgesia, antiemetics and decompression of the stomach using large bore nasogastric tube. A total of 2600 ml fluid was aspirated in 24 h and her stoma restarted normal output. After 10 days she was discharged home. Oxford University Press 2023-06-19 /pmc/articles/PMC10279511/ /pubmed/37342521 http://dx.doi.org/10.1093/jscr/rjad204 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Bodimeade, Chris Troller, Rebekka Parastomal hernia containing the stomach—a rare complication |
title | Parastomal hernia containing the stomach—a rare complication |
title_full | Parastomal hernia containing the stomach—a rare complication |
title_fullStr | Parastomal hernia containing the stomach—a rare complication |
title_full_unstemmed | Parastomal hernia containing the stomach—a rare complication |
title_short | Parastomal hernia containing the stomach—a rare complication |
title_sort | parastomal hernia containing the stomach—a rare complication |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10279511/ https://www.ncbi.nlm.nih.gov/pubmed/37342521 http://dx.doi.org/10.1093/jscr/rjad204 |
work_keys_str_mv | AT bodimeadechris parastomalherniacontainingthestomachararecomplication AT trollerrebekka parastomalherniacontainingthestomachararecomplication |