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Acute cholecystitis in a parastomal hernia causing a small bowel obstruction
Chetna Bakshi1, Samantha Ruff1, Frank Caliendo2
1Department of Surgery, Northwell Health, Manhasset, NY 11030, USA.
Journal of Surgical Case Reports
|February 10, 2018
Summary
A rare parastomal hernia case involved a gallbladder causing mechanical bowel obstruction. Treatment of acute cholecystitis resolved the obstruction and restored ostomy function.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Parastomal hernias involve protrusion of abdominal contents through the abdominal wall near an ostomy.
- While commonly involving fat, omentum, or bowel, rare cases include other organs.
Observation:
- An 89-year-old male presented with a gallbladder within his parastomal hernia.
- The distended gallbladder caused acute cholecystitis, compressing adjacent bowel loops.
- This compression led to a mechanical bowel obstruction.
Findings:
- The patient received antibiotics and a nasogastric tube for treatment.
- Resolution of acute cholecystitis was achieved.
- Ostomy function returned following the resolution of cholecystitis.
Implications:
- This case highlights the potential for unusual organs, like the gallbladder, to be involved in parastomal hernias.
- It underscores the importance of considering non-typical presentations of parastomal hernias, especially in cases of bowel obstruction.
- Prompt management of associated conditions, such as acute cholecystitis, can resolve complications and restore ostomy function.
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