Parastomal gallbladder herniation: A case report and review of the literature.
Case report
Enterostomy
Gallbladder herniation
Gallbladder incarceration
Parastomal hernia
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2020
2020
Historique:
received:
10
06
2020
accepted:
12
07
2020
pubmed:
3
8
2020
medline:
3
8
2020
entrez:
3
8
2020
Statut:
ppublish
Résumé
Parastomal hernia is a common complication of patients living with an enterostomy. However, a parastomal hernia involving the gallbladder is a rare condition with only eight cases documented in the literature. We report the case of a 69-year old female who underwent an open right hemicolectomy with creation of a colostomy and terminal ileostomy. She presented with parastomal swelling and pain 16 months later. A computed tomography scan revealed a parastomal herniation of the gallbladder. We elected to proceed with a cholecystectomy and hernia repair, the patient was asymptomatic at her last follow-up. A systematic search of the literature found eight previously published cases. This condition primarily affects elderly females. Five patients were treated surgically and three conservatively, all with a favorable outcome. In frail patients without complicating factors, a conservative treatment approach with surveillance may be safe. We chose a surgical approach due to the symptomatic nature of the presentation and the gallstone containing hernia. This is the first case of a parastomal gallbladder herniation containing a large gallstone. This report should help broadening the physician's differential diagnosis in dealing with patients with symptomatic parastomal hernias and provide an example for diagnosis and management of this complication.
Identifiants
pubmed: 32739522
pii: S2210-2612(20)30513-7
doi: 10.1016/j.ijscr.2020.07.002
pmc: PMC7397696
pii:
doi:
Types de publication
Case Reports
Langues
eng
Pagination
338-341Informations de copyright
Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
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