Incarcerated Stomach in a Parastomal Hernia

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 le...

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Bibliographic Details
Main Authors: Abdelwahed Ahmed, Sochorova Dana, El-Hakim Hisham, Hassan Malek, Zach Rudolf
Format: Article
Language:English
Published: Surgical Society of Kenya 2020-09-01
Series:The Annals of African Surgery
Subjects:
Online Access:https://www.annalsofafricansurgery.com/incacerated-stomach-in-a-parastomal
Description
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
ISSN:1999-9674
2523-0816