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Rare disease
Case report
Stomach in a parastomal hernia: a rare complication of stomas
  1. Onyekachi Ezekiel Ekowo1,
  2. Ammar Al Midani1,
  3. Yasser Abdulaal1 and
  4. Mohamed Boshnaq1,2
  1. 1Department of General Surgery, Maidstone and Tunbridge Wells NHS Trust, Maidstone, Kent, UK
  2. 2Department of General Surgery, Ain Shams University, Cairo, Egypt
  1. Correspondence to Mohamed Boshnaq; mboshnaq{at}nhs.net

Abstract

Parastomal hernia (PSH) is one of the most known complications to end colostomies. However, PSH containing the stomach is rare: not many case reports were found in literature search. This case is a 92-year-old woman who was brought in by ambulance to the accident and emergency department with vomiting, abdominal distension, palpable mass on the left side of her abdomen and with reduced stoma effluent. Her abdominal CT scan showed a PSH containing a partially incarcerated gastric hernia. Although there are only few similar cases of PSH containing the stomach reported in the literature, an almost similar pattern in presentation of this unique case can be deduced following a thorough comparison of cases in the literature, which can be quite helpful both academically and clinically: they are often advanced in age and are usually women with end colostomies.

  • stomach and duodenum
  • general surgery
  • gastrointestinal surgery

https://doi.org/10.1136/bcr-2020-234325

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    Footnotes

    • Contributors OEE wrote the initial draft paper, literature review and clinical case description. MB involved in the concept and the design, edited and reviewed the manuscript and also cared for the patient. AAM and YA reviewed the manuscript critically and cared for the patient. All authors agreed on the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.