2021 Volume 41 Issue 5 Pages 325-329
Parastomal hernia is a common complication after stoma construction. However, incarceration of a parastomal hernia is rare, because of the wide hernia orifice. We encountered two cases of incarcerated parastomal hernia, which were repaired with stoma relocation. Case 1: An 80-year-old man was diagnosed as having an incarcerated parastomal hernia 8 years after he had undergone abdominoperineal resection for rectal cancer. The incarcerated small bowel was resected, the stoma was closed, and the colostomy was reconstructed in the left upper abdomen. No recurrence of the parastomal hernia has been observed until now, 4 years after the surgery. Case 2: An 82-year-old woman developed an incarcerated parastomal hernia 8 months after undergoing Hartmann’s operation. The incarcerated small bowel was resected, the stoma was closed, and the colostomy was reconstructed in the left upper abdomen. No recurrence of the parastomal hernia was noted until 10 months after the surgery, when the patient died of another unrelated cause. Incarcerated parastomal hernias often require enterectomy. Mesh repair is not recommended for such cases. Stoma relocation is a rational and feasible treatment option for incarcerated parastomal hernia.
