A Case of Incarcerated Parastomal Hernia

Abstract

An 89-year-old woman was referred to our hospital for abdominal pain. Her past history included abdominoperineal resection for rectal cancer 40 years previously, and she had been conscious of flatulence at the parastomal site for a long time. On physical examination, she was diagnosed as having an incarcerated parastomal hernia, which was confirmed on CT images, and underwent emergency surgery. After about 50 cm of necrotic small intestine had been removed and reconstructed, fascial repair of the parastomal defect was carried out using absorbable sutures. The patient's post-operative course was uneventful, and she was discharged from the hospital on the 11th post-operative day.