Parastomal herniation of the gallbladder.
Parastomal hernias can occur in up to 31% of patients following an enterostomy (Cheung in Aust N Z J Surg 65:808-811, 1995). This type of hernia develops through an intentional fascial defect. Commonly, most parastomal hernias involve a reducible segment of omentum, small bowel, or colon. Typically, these hernias are asymptomatic and associated rarely with strangulation or obstruction. Patient preference and clinical scenario may dictate management of these hernias. Non-operative management of parastomal hernias includes abdominal binders and enterostomy belts. Operative management includes a host of options including mesh repair, a new stoma site, or revision. This paper documents the first reported case of a parastomal hernia involving the gallbladder. Optimal technique and site placement of a stoma are also discussed.
Garcia
R M
RM
Department of Surgery, The George Washington University Medical Center, 2150 Pennsylvania Ave., NW Suite 6B, Washington, DC 20037, USA.
Brody
F
F
Miller
J
J
Ponsky
T A
TA
D003125:Colostomy / Q000009:adverse effects*; D000071938:Fasciotomy; D005260:Female; D005705:Gallbladder Diseases / Q000209:etiology* / Q000601:surgery; D006547:Hernia / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D008875:Middle Aged