2024 Volume 44 Issue 4 Pages 653-656
A 90-year-old woman with decreased cardiac function who had undergone Miles’ operation for rectal cancer about 20 years previously presented to us with a history of recurrent vomiting and abdominal distension. Abdominal computed tomography (CT) revealed a parastomal hernia and small-bowel obstruction without any poor contrast area. Therefore, we selected conservative management and inserted a gastric tube to reduce the pressure in the gastrointestinal tract. The parastomal hernia was no longer visualized on a CT repeated the following morning and the patient started eating and drinking toward recovery. However, she vomited again on the 7th day of hospitalization and the parastomal hernia had recurred. Therefore, we performed minimally invasive surgery for the parastomal hernia in the very elderly patient with decreased cardiac function using a composite mesh. We report the case with a review of the literature.
