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A parastomal hernia causing small-bowel obstruction

D W Markham1, M Ruppert, R Noel

  • 1Department of Medicine, University of Washington School of Medicine, Seattle, USA.

Journal of Clinical Gastroenterology
|April 1, 1996
PubMed
Summary
This summary is machine-generated.

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A parastomal hernia, an incisional hernia at an intestinal stoma site, can cause intermittent small-bowel obstruction. Diagnosis is often achievable through careful history and physical examination.

Area of Science:

  • Gastroenterology
  • Abdominal Surgery

Background:

  • Parastomal hernias are incisional hernias occurring at the abdominal wall's intestinal stoma site.
  • Ulcerative colitis patients undergoing colectomy and ileostomy are at risk.

Observation:

  • A 52-year-old woman presented with a 2-year history of intermittent small-bowel obstruction.
  • Initial diagnosis considered Crohn's disease, but examination revealed a parastomal hernia.
  • A small-bowel series confirmed the parastomal hernia diagnosis.

Findings:

  • Surgical correction of the parastomal hernia resolved the patient's intermittent small-bowel obstruction.
  • The patient had a history of ulcerative colitis, total colectomy, and ileostomy 9 years prior.

Implications:

Related Experiment Videos

  • Parastomal hernias should be considered in patients with stomas experiencing intermittent small-bowel obstruction.
  • Clinical evaluation, including history and physical exam, is crucial for diagnosis.
  • Prompt diagnosis and surgical intervention can alleviate obstructive symptoms.