Gastric Outlet Obstruction Secondary to Incarcerated Stomach in Parastomal Hernia
Gastric outlet obstruction due to an incarcerated stomach in a parastomal hernia is extremely rare. Here, we present the management of such a case with a review of the literature. A 79-year-old woman presented with a 3-week history of postprandial vomiting and associated parastomal and epigastric pa...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | World Journal of Colorectal Surgery |
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| Online Access: | https://journals.lww.com/wjcs/fulltext/2023/12010/gastric_outlet_obstruction_secondary_to.5.aspx |
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| author | Mohammed F. Bin Abdur Raheem Zi Q Ng |
| author_facet | Mohammed F. Bin Abdur Raheem Zi Q Ng |
| author_sort | Mohammed F. Bin Abdur Raheem |
| collection | DOAJ |
| description | Gastric outlet obstruction due to an incarcerated stomach in a parastomal hernia is extremely rare. Here, we present the management of such a case with a review of the literature. A 79-year-old woman presented with a 3-week history of postprandial vomiting and associated parastomal and epigastric pain. She had a loop colostomy created for severe fecal incontinence secondary to anal stenosis. Imaging revealed a large parastomal hernia with an incarcerated gastric antrum. She was initially managed nonoperatively with a nasogastric tube. She underwent a semi-elective open Sugarbaker mesh repair of the parastomal hernia with good results. Gastric outlet obstruction secondary to incarceration of the stomach in a parastomal hernia is uncommon. A conservative approach with nasogastric tube decompression is a reasonable initial approach in a patient who is not critically unwell, which allows time for consideration of different parastomal hernia repair techniques. |
| format | Article |
| id | doaj-art-11dafb73d0034f47bd891261fd39ff72 |
| institution | Kabale University |
| issn | 1941-8213 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | World Journal of Colorectal Surgery |
| spelling | doaj-art-11dafb73d0034f47bd891261fd39ff722025-08-20T03:25:42ZengWolters Kluwer Medknow PublicationsWorld Journal of Colorectal Surgery1941-82132023-01-01121242710.4103/wjcs.wjcs_12_23Gastric Outlet Obstruction Secondary to Incarcerated Stomach in Parastomal HerniaMohammed F. Bin Abdur RaheemZi Q NgGastric outlet obstruction due to an incarcerated stomach in a parastomal hernia is extremely rare. Here, we present the management of such a case with a review of the literature. A 79-year-old woman presented with a 3-week history of postprandial vomiting and associated parastomal and epigastric pain. She had a loop colostomy created for severe fecal incontinence secondary to anal stenosis. Imaging revealed a large parastomal hernia with an incarcerated gastric antrum. She was initially managed nonoperatively with a nasogastric tube. She underwent a semi-elective open Sugarbaker mesh repair of the parastomal hernia with good results. Gastric outlet obstruction secondary to incarceration of the stomach in a parastomal hernia is uncommon. A conservative approach with nasogastric tube decompression is a reasonable initial approach in a patient who is not critically unwell, which allows time for consideration of different parastomal hernia repair techniques.https://journals.lww.com/wjcs/fulltext/2023/12010/gastric_outlet_obstruction_secondary_to.5.aspxgastric outlet obstruction; parastomal hernia; stomach |
| spellingShingle | Mohammed F. Bin Abdur Raheem Zi Q Ng Gastric Outlet Obstruction Secondary to Incarcerated Stomach in Parastomal Hernia World Journal of Colorectal Surgery gastric outlet obstruction; parastomal hernia; stomach |
| title | Gastric Outlet Obstruction Secondary to Incarcerated Stomach in Parastomal Hernia |
| title_full | Gastric Outlet Obstruction Secondary to Incarcerated Stomach in Parastomal Hernia |
| title_fullStr | Gastric Outlet Obstruction Secondary to Incarcerated Stomach in Parastomal Hernia |
| title_full_unstemmed | Gastric Outlet Obstruction Secondary to Incarcerated Stomach in Parastomal Hernia |
| title_short | Gastric Outlet Obstruction Secondary to Incarcerated Stomach in Parastomal Hernia |
| title_sort | gastric outlet obstruction secondary to incarcerated stomach in parastomal hernia |
| topic | gastric outlet obstruction; parastomal hernia; stomach |
| url | https://journals.lww.com/wjcs/fulltext/2023/12010/gastric_outlet_obstruction_secondary_to.5.aspx |
| work_keys_str_mv | AT mohammedfbinabdurraheem gastricoutletobstructionsecondarytoincarceratedstomachinparastomalhernia AT ziqng gastricoutletobstructionsecondarytoincarceratedstomachinparastomalhernia |