Incarcerated intestinal hernia in a hernia sac of reversed ileal conduit wall protruding through the stoma.

Abstract

The case is reported of incarcerated intestinal hernia in a hernia sac of reversed ileal conduit wall protruding through the stoma. An 82-year-old woman presented with suspected parastomal intestinal hernia. The patient had undergone total cystectomy with ileal conduit construction 3 years previously, followed by stomal reconstruction surgery for stomal stenosis 2 years later. She had been taking various kinds of purgatives for severe constipation. Initially, this case was diagnosed as parastomal hernia, but emergency surgery demonstrated that incarcerated intestinal hernia in a hernia sac of reversed ileal conduit wall was protruding through the stoma. This case was apparently caused by high abdominal pressure and thinning of the ileal conduit wall.

• Authors: Kouji Izumi, Masanori Kono, Hiroaki Kato, Shinya Mihara, Kenji Tsukahara, Mikio Namiki
• Journal: International journal of urology : official journal of the Japanese Urological Association (Int J Urol) Vol. 14 Issue 6 Pg. 561-2 (Jun 2007) ISSN: 0919-8172 [Print] Australia
• PMID: 17593106 (Publication Type: Case Reports, Journal Article)

Topics

• Aged, 80 and over
• Female
• Hernia, Abdominal (diagnostic imaging, etiology, pathology)
• Humans
• Ileostomy
• Postoperative Complications (diagnostic imaging, etiology, surgery)
• Pressure
• Surgical Stomas (pathology)
• Tomography, X-Ray Computed
• Urinary Diversion (adverse effects)