Immediate postoperative parastomal end sigmoid hernia resulting in evisceration and strangulation
Related Experiment Video
Updated: Apr 28, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Vitali Azouz1, Jeremy D Simmons2, Georges S Abourjaily2
1Department of General Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX, USA azouzv@livemail.uthscsa.edu.
Abstract:
Parastomal evisceration is a very rare complication occurring after stoma formation. We report the case of this complication which occurred within 3 days status post end sigmoid colostomy in a 69-year-old male who initially presented with perianal infection-severe necrotizing fasciitis. This case highlights the significance of the size of a stomatal aperture and should remind general surgeons of the one of dangerous complications indicated by a stomatal aperture that is just a centimeter larger than the accepted ideal size.
Insights
Parastomal evisceration is a rare complication after stoma surgery. A slightly enlarged stoma aperture, even by 1 cm, can increase the risk of this dangerous event, as seen in a recent case.
Area of Science:
- Surgical complications
- Gastrointestinal surgery
- Stoma care
Background:
- Parastomal evisceration is an infrequent but serious complication following ostomy creation.
- It involves the protrusion of abdominal contents through the stoma site.
- Risk factors and preventative measures require continued attention.
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