title: Immediate postoperative parastomal end sigmoid hernia resulting in evisceration and strangulation.
abstract: Parastomal evisceration is a very rare complication occurring after stoma formation. We report the case of this complication which occurred within 3 days status post end sigmoid colostomy in a 69-year-old male who initially presented with perianal infection-severe necrotizing fasciitis. This case highlights the significance of the size of a stomatal aperture and should remind general surgeons of the one of dangerous complications indicated by a stomatal aperture that is just a centimeter larger than the accepted ideal size.
authors.affiliation: Department of General Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX, USA azouzv@livemail.uthscsa.edu.
authors.forename: Vitali
authors.initials: V
authors.lastname: Azouz
authors.affiliation: Department of General Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX, USA.
authors.forename: Jeremy D
authors.initials: JD
authors.lastname: Simmons
authors.affiliation: Department of General Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX, USA.
authors.forename: Georges S
authors.initials: GS
authors.lastname: Abourjaily