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Gallbladder complicating a parastomal hernia.

Peter Rogers1, Alvin Lai2, Paul Salama1

  • 1Joondalup Health Campus, Western Australia.

Journal of Surgical Case Reports
|April 19, 2019
PubMed
Summary
This summary is machine-generated.

Gallbladder herniation in a parastomal hernia is rare. This case report details successful surgical repair, repositioning the gallbladder without removal, in an elderly female patient.

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports
  • Abdominal Wall Surgery

Background:

  • Parastomal hernias are common complications following ostomy surgery.
  • Gallbladder herniation into a parastomal hernia is an exceptionally rare occurrence.
  • Risk factors include advanced age and female sex.

Observation:

  • A 75-year-old female presented with a parastomal hernia.
  • The gallbladder was found to be present within the parastomal hernia sac.
  • The patient had no prior history of gallbladder disease.

Findings:

  • Surgical repair of the parastomal hernia was performed.
  • The gallbladder was successfully reduced to its normal intra-abdominal position.
  • Cholecystectomy was not required.

Implications:

  • This case highlights the importance of considering unusual contents within parastomal hernias.
  • Conservative management of the herniated gallbladder may be feasible in select cases.
  • Further reporting of such rare events can refine understanding of parastomal hernia management.