title: Incarcerated intestinal hernia in a hernia sac of reversed ileal conduit wall protruding through the stoma.
abstract: The case is reported of incarcerated intestinal hernia in a hernia sac of reversed ileal conduit wall protruding through the stoma. An 82-year-old woman presented with suspected parastomal intestinal hernia. The patient had undergone total cystectomy with ileal conduit construction 3 years previously, followed by stomal reconstruction surgery for stomal stenosis 2 years later. She had been taking various kinds of purgatives for severe constipation. Initially, this case was diagnosed as parastomal hernia, but emergency surgery demonstrated that incarcerated intestinal hernia in a hernia sac of reversed ileal conduit wall was protruding through the stoma. This case was apparently caused by high abdominal pressure and thinning of the ileal conduit wall.
authors.affiliation: Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan. azuizu22003@yahoo.co.jp
authors.forename: Kouji
authors.initials: K
authors.lastname: Izumi
authors.forename: Masanori
authors.initials: M
authors.lastname: Kono
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kato
authors.forename: Shinya
authors.initials: S
authors.lastname: Mihara
authors.forename: Kenji
authors.initials: K
authors.lastname: Tsukahara
authors.forename: Mikio
authors.initials: M
authors.lastname: Namiki
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D046449:Hernia, Abdominal / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007081:Ileostomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D011312:Pressure; D054047:Surgical Stomas / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D014547:Urinary Diversion / Q000009:adverse effects*