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Scientific article
Case report
Open access
English

Parastomal gallbladder herniation: A case report and review of the literature

Published inInternational journal of surgery case reports, vol. 73, p. 338-341
Publication date2020
First online date2020-07-26
Abstract

Introduction: 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.

Presentation of case: 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.

Discussion: 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.

Conclusion: 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.

eng
Keywords
  • Case report
  • Enterostomy
  • Gallbladder herniation
  • Gallbladder incarceration
  • Parastomal hernia
Citation (ISO format)
MOECKLI, Beat et al. Parastomal gallbladder herniation: A case report and review of the literature. In: International journal of surgery case reports, 2020, vol. 73, p. 338–341. doi: 10.1016/j.ijscr.2020.07.002
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Article (Published version)
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ISSN of the journal2210-2612
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