Incarcerated Stomach in a Parastomal Hernia
Parastomal hernia is a rare cause of upper gastrointestinal bleeding. We present a case of an 82-year-old lady who presented with a one-month history of abdominal pain associated with coffee ground vomiting and intermittent melena. Gastroscopy showed bleeding from pyloric canal without a definite le...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Surgical Society of Kenya
2020-09-01
|
Series: | The Annals of African Surgery |
Subjects: | |
Online Access: | https://www.annalsofafricansurgery.com/incacerated-stomach-in-a-parastomal |
Summary: | Parastomal hernia is a rare cause of upper gastrointestinal bleeding. We present a case of an 82-year-old lady who presented with a one-month history of abdominal pain associated with coffee ground vomiting and intermittent melena. Gastroscopy showed bleeding from pyloric canal without a definite lesion. Abdominal CT showed herniation of the pre-pyloric and pyloric regions of the stomach into the hernial sac. She underwent a laparoscopic repair with extensive adhesiolysis, reduction of stomach, approximation of defect and placement of a mesh. She made excellent recovery and had no post- operative complications |
---|---|
ISSN: | 1999-9674 2523-0816 |