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Updated: May 22, 2026

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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Stomach in a parastomal hernia: uncommon presentation.
Emil Bota1, Irshad Shaikh, Roland Fernandes
1Colorectal Department, QEQM Hospital, Margate, UK.
BMJ Case Reports
|May 19, 2012
Summary
Parastomal hernias, a common stoma complication, can cause gastric outlet obstruction. This case highlights a rare instance of stomach herniation leading to severe postprandial vomiting and weight loss.
Area of Science:
- Gastroenterology
- Surgical complications
- Abdominal wall reconstruction
Background:
- Parastomal hernias are frequent post-surgical complications following ostomy creation.
- Early diagnosis and management are crucial to prevent severe morbidity.
- Gastric outlet obstruction is an atypical presentation of parastomal hernia.
Observation:
- A 41-year-old female presented with postprandial vomiting, abdominal distension, and weight loss.
- Symptoms were attributed to a parastomal hernia causing gastric outlet obstruction.
- Diagnostic imaging confirmed stomach herniation through the abdominal wall.
Findings:
- Intraoperative findings revealed an incarcerated parastomal hernia containing stomach and small bowel.
- The gastric outlet obstruction was caused by the herniated stomach.
- The hernia was successfully repaired using the open sombrero technique.
Implications:
- This case underscores the importance of considering parastomal hernia in patients with unexplained gastrointestinal symptoms.
- Timely surgical intervention is vital for resolving obstruction and improving patient outcomes.
- The sombrero repair technique offers a viable option for managing complex parastomal hernias.
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