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- Title
Spontaneous rupture of a parastomal hernia with evisceration of small bowel: a case report.
- Authors
Basnayake, Oshan; Jayarajah, Umesh; Jayasinghe, Jayan; Wijerathne, Pradeep Kumara; Samarasekera, Dharmabandhu Nandadeva
- Abstract
<bold>Background: </bold>Long standing ostomy related complications such as parastomal hernia and stoma prolapse may be at a higher risk of developing spontaneous rupture and evisceration, especially in patients suffering from chronic cough. Such patients may need early refashioning of the stoma to prevent this serious complication. Parastomal evisceration is a very rare complication of stomas and to date, only few cases have been reported in the literature.<bold>Case Presentation: </bold>A 51 year old patient with chronic obstructive pulmonary disease (COPD) and extensive hidradenitis suppurativa of the perineum underwent a temporary defunctioning loop sigmoid colostomy and subsequent perineal skin excision and skin grafting. The ostomy was complicated by a parastomal hernia and stoma prolapse 6 weeks post operatively. Five months later he developed spontaneous rupture of parastomal hernia and evisceration of small bowel. Urgent surgery was done and reduction of small bowel loops and re-siting of the sigmoid colostomy was done.<bold>Discussion and Conclusions: </bold>Parastomal evisceration is an extremely rare life threatening stoma-related complication which requires urgent treatment.
- Subjects
HERNIA; OBSTRUCTIVE lung diseases; HIDRADENITIS suppurativa; COLOSTOMY; SURGICAL complications; SMALL intestine surgery; PERINEUM surgery; SMALL intestine; INTESTINAL diseases; ORGAN rupture; SKIN grafting; OSTOMY; DISEASE complications
- Publication
BMC Surgery, 2019, Vol 18, Issue 1, p43
- ISSN
1471-2482
- Publication type
journal article
- DOI
10.1186/s12893-019-0509-5