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KMID : 0356719990150040345
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Journal of the Korean Society of Coloproctology
1999 Volume.15 No. 4 p.345 ~ p.349
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A Parastomal Hernia Causing Small Bowel Obstruction A case report
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Lee Seung-Hoon
Jeon Hae-Myung
Kim Jeong-Soo
Kim Kee-Hwan
Oh Seung-Teak
Chae Hiun-Suk
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Abstract
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A parastomal hernia is an incisional hernia in relation to an intestinal stoma on the abdominal wall and a common complication after stoma formation. Most parastomal hernias are relatively asymptomatic, but sometimes, a loop of bowel may become trapped in the sac, resulting in obstruction or strangulation. We reported a case with a para- colostomy hernia causing small bowel obstruction in a 45-years-old female who had had a transverse loop colostomy for severe rectovaginal fistula 2 years before due to recurrent cervix cancer. The patient required resection of gangrenous portions of small bowel and large bowel. A review of the preventative information of parastomal hernia and management is discussed. A parastomal hernia shonld be considered as a cause of small bowel obstruction in anyone who
has a stoma. Early detection and repair of the strangulated hernia are recommended.
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KEYWORD
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Parastomal hernia, Bowel obstruction
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