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Related Experiment Video

Updated: Feb 24, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

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Parastomal gallbladder hernia in a septic patient.

Joseph Frankl1, Maria Michailidou2, Felipe Maegawa2,3

  • 1University of Arizona College of Medicine, 1501 N. Campbell Ave., Tucson, AZ 85724, USA.

Radiology Case Reports
|August 23, 2017
PubMed
Summary

Parastomal gallbladder herniation is a rare complication following enterostomies. This case highlights successful nonoperative management in an elderly patient with sepsis and comorbidities.

Keywords:
ColostomyGallbladderHerniaParastomal herniaVisceroptosis

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Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Abdominal Surgery

Background:

  • Parastomal gallbladder herniation is an exceptionally rare complication of enterostomies.
  • Only six cases have been previously documented in medical literature.
  • The condition predominantly affects elderly women and often presents with acute abdominal pain requiring surgical intervention.

Observation:

  • An 88-year-old female presented with sepsis and subtle abdominal symptoms.
  • Diagnostic evaluation revealed parastomal gallbladder herniation and Klebsiella pneumoniae bacteremia.
  • The patient had multiple significant comorbidities, complicating treatment options.

Findings:

  • The patient was successfully managed nonoperatively.
  • Treatment involved manual reduction of the parastomal hernia.
  • Antibiotics were administered to address the Klebsiella pneumoniae bacteremia.

Implications:

  • This case expands the understanding of parastomal gallbladder herniation presentations.
  • It demonstrates the feasibility of nonoperative management in select high-risk patients.
  • Highlights the importance of considering rare complications in patients with sepsis and abdominal symptoms.