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Incarcerated trans-stomal herniation resembling a stomal prolapse - a case report
N Shaikh1, R V Blanco1, M Vente1
1Robert Mangaliso Sobukwe Hospital, South Africa.
Summary
Trans-stomal herniation is a rare stoma complication. This case highlights a concurrent stomal prolapse and herniation requiring emergency surgery for incarcerated bowel.
Area of Science:
- Gastroenterology and Surgical Oncology
- Abdominal Wall Surgery
Background:
- Trans-stomal herniation is an infrequent complication of ostomy creation.
- It can be mistaken for stomal prolapse, complicating diagnosis and management.
Purpose of the Study:
- To report a unique case of simultaneous stomal prolapse and trans-stomal small bowel herniation.
- To emphasize the diagnostic challenges and surgical urgency in such rare presentations.
Main Methods:
- Case report detailing clinical presentation, diagnostic workup, and surgical intervention.
- Review of literature on trans-stomal herniation and stomal prolapse.
Main Results:
- A patient presented with symptoms suggestive of stomal prolapse.
- Intraoperative findings revealed concurrent stomal prolapse and incarcerated trans-stomal small bowel herniation.
- Emergency stoma refashioning was successfully performed.
Conclusions:
- Trans-stomal herniation, though rare, can occur alongside stomal prolapse.
- Prompt surgical intervention is crucial for incarcerated trans-stomal herniation to prevent complications.
- This case underscores the importance of considering herniation in stoma complications.
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