Strangulated Ileostomy Evisceration Following Lateralizing Mesh Repair of Parastomal Hernia

Overview

Journal Hernia

Publisher Springer

Date 2014 Apr 30

PMID 24777430

Citations 6

Authors

E P Ramly

T Crosslin

B Orkin

D Popowich

Affiliations

Soon will be listed here.

Abstract

Parastomal hernia formation and ostomy prolapse are relatively common complications of intestinal ostomy construction. Underlay mesh placement with lateralization of the stoma limb appears to be the method of repair with the lowest recurrence rate. Prophylaxis of new stomas with mesh is advocated by many authors. We report the case of an 81-year-old man with chronic steroid-dependent COPD who presented to the emergency department with strangulated small bowel evisceration 9 days following completion abdominal colectomy, and creation of an end ileostomy reinforced with intraperitoneal mesh. This rare complication was related to this patient's risk factors for poor healing including poor nutrition, age, chronic COPD and coughing and steroid dependence with immunosuppression.

Citing Articles

Diverting Stoma-Related Evisceration: A Comprehensive Review of 28 Case Reports Published in the Medical Literature in English.

Mates I Cureus. 2024; 16(5):e59621.

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Early postoperative parastomal evisceration after explorative laparotomy: case report of a rare and potentially life-threatening surgical complication.

Hasnaoui A, Trigui R, Heni S, Kacem S Patient Saf Surg. 2023; 17(1):26.

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Early parastomal evisceration of small bowel following a loop ileostomy for malignant intestinal obstruction.

Basnayake O, Prasanthan Y, Jayarajah U, Ganga N, De Silva K SAGE Open Med Case Rep. 2021; 9:2050313X211015893.

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Parastomal Evisceration: A Report of Two Cases and Review of Literature.

Kulkarni A, Chauhan V, Sharma V, Singh H Cureus. 2019; 11(9):e5750.

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Spontaneous rupture of a parastomal hernia with evisceration of small bowel: a case report.

Basnayake O, Jayarajah U, Jayasinghe J, Wijerathne P, Samarasekera D BMC Surg. 2019; 19(1):43.

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