A Case of Para-Ileal Conduit Stomal Hernia in which Two Loops of Intestine were Incarcerated

Takayuki Muraoka, Sadanobu Izumi, Ichio Suzuka, Ryuichiro Ohashi, Masaki Tokumo and Kunihiko Shiota

Department of Surgery, Kagawa Prefectual Central Hospital

Parastomal hernia is a late complication of stoma construction, but prolapsed intestines rarely become incarcerated. We report a case of paraileal conduit stomal hernia in which two intestinal loops were incarcerated, one in the space another prolapsed loop had occupied. An 86-year-old woman who underwent total bladder resection and ileal conduit construction for bladder carcinoma 30 years earlier and being followed up for several years for a paraileostomy hernia noticed a bulging mass around the stoma in January 2008. The diagnosis of parastomal hernia with incarcerated small intestine and colon necessitated emergency surgery. We found 30 cm of the ileum and 5 cm of the transverse colon in the hernia sac. We resected the necrotic intestines and closed the hilum of the hernia by simple suturing. She is under observation without further recurrence.

Key words
parastomal hernia, ileal conduit, strangulated ileus

Reprint requests
Takayuki Muraoka Department of Surgery, Kagawa Prefectural Central Hospital
5-4-16 Bancho, Takamatsu, 760-8557 JAPAN

Accepted
March 25, 2009

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