A Case Report of Colostomy Perforation with Parastomal Hernia

Abstract

An 80-year-male patient with a pacemaker for sick sinus syndrome had undergone the Hartmann operation for idiopathic rectal perforation 8 years previously. In the present medical history, he developed left lower abdominal pain and had to be transported to our hospital by ambulance. Computed tomography （CT） revealed ascites, free air, and an iso-density area of extra in the vicinity of the ? colostomy, with a parastomal hernia. He was advised to undergo surgery for the parastomal hernia through the colostomy perforation. Emergency operation was performed. We resected the perforated bowel and constructed a transverse colostomy. The postoperative clinical course was nearly uneventful under intensive care, and the patient was discharged on day 40 of hospitalization. We present a case of colostomy perforation with a parastomal hernia and a review the literature.