A rare case of parastomal hernia complicated by gallbladder incarceration

Urbonas, Tomas; Boyce, Stephen

doi:10.1111/ans.17024

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Of the 17 reported cases of gallbladder herniation into a parastomal hernia described in our literature review, five were managed non-operatively. Of these five cases, there was one recurrence described by Guo et al Initial conservative measures were taken for this patient per patient/family wishes to limit surgery, however, the patient ultimately required surgical intervention with cholecystectomy and parastomal hernia repair with biologic mesh placement [ 4 , 7 , 11 , 12 , 17 ]. Three of the conservatively managed cases pursued non-operative management due to patient comorbidities.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Resolution of Parastomal Gallbladder Herniation After Attempted Surgical Intervention: A Case Report and Review of the Literature

Pinnock¹,

Vashi²,

Marsh³

et al. 2023

Cureus

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Cholecystic parastomal herniation is a rare condition that has only been documented 16 times in the literature. We present a case report and literature review of cholecystic parastomal herniation managed with diagnostic laparoscopy without cholecystectomy or hernia repair. Furthermore, we assess the demographics, presentation, stoma types, and management of cholecystic parastomal hernias across all documented cases.

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Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Including our case, the mean age of cholecystic parastomal herniation presentation is 72.8 years of age with a female predominance of 88%.…”

mentioning

confidence: 96%

Spontaneous Resolution of Parastomal Gallbladder Herniation After Attempted Surgical Intervention: A Case Report and Review of the Literature

Pinnock¹,

Vashi²,

Marsh³

et al. 2023

Cureus

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Parastomal Gallbladder Herniations: A Systematic Review

Olusola,

Jarman,

Parmar

et al. 2024

Cureus

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Parastomal hernias (PSHs) are a common complication following stoma placement. The presence of the gallbladder within a PSH is a rare and unusual occurrence, posing a significant management challenge for surgeons once encountered. We conducted a systematic review of the literature to evaluate the management and outcomes of parastomal gallbladder herniations. A comprehensive search was performed across the PubMed, Embase, and Medline databases using the search terms “gallbladder” AND “parastomal hernia.” Additionally, a reference check of the results was conducted to identify further case reports. Eighteen case reports were included in the review. The mean age of the reported cases was 77.2 years, with a female predominance of 88.9% (n = 16). Seventy-seven percent (n = 14) of patients had an original ileal stoma or conduit. The average duration from stoma placement to clinical presentation was 5.8 years and abdominal pain was the most common presenting complaint. CT imaging was the most frequently utilised modality for successful diagnosis, with only two herniations identified during surgical exploration. Notably, 66.6% (n = 12) of patients experienced associated gallbladder complications, including cholecystitis, torsion, incarceration, and even perforation, all of which necessitated cholecystectomy. Cholecystic parastomal herniation is a rare phenomenon that should be considered in differential diagnoses for similar presentations. Currently, no standardized classification or management approach exists. Based on our findings, we propose classifying gallbladder herniations into two categories: simple (without inflammatory sequelae) and complicated (with cholecystitis, gallbladder torsion, incarceration, or perforation). Simple herniations may be managed electively with intraoperative reduction of the gallbladder. In contrast, complicated herniations presenting during acute admissions require emergency surgical intervention, involving a combined cholecystectomy and PSH repair.

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A rare case of parastomal hernia complicated by gallbladder incarceration

Cited by 2 publications

References 9 publications

Spontaneous Resolution of Parastomal Gallbladder Herniation After Attempted Surgical Intervention: A Case Report and Review of the Literature

Spontaneous Resolution of Parastomal Gallbladder Herniation After Attempted Surgical Intervention: A Case Report and Review of the Literature

Parastomal Gallbladder Herniations: A Systematic Review

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