소장폐색을 유발한 장루주위 탈장
A Parastomal Hernia Causing Small Bowel Obstruction A case report
이승훈, 전해명, 김정수, 김기환, 오승택, 채현석,
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이승훈 ( Lee Seung-Hoon )
가톨릭대학교 의과대학 의정부성모병원 외과학교실
전해명 ( Jeon Hae-Myung )
가톨릭대학교 의과대학 의정부성모병원 외과학교실
김정수 ( Kim Jeong-Soo )
가톨릭대학교 의과대학 의정부성모병원 외과학교실
김기환 ( Kim Kee-Hwan )
가톨릭대학교 의과대학 의정부성모병원 외과학교실
오승택 ( Oh Seung-Teak )
가톨릭대학교 의과대학 의정부성모병원 외과학교실
채현석 ( Chae Hiun-Suk )
가톨릭대학교 의과대학 의정부성모병원 내과학교실
KMID : 0356719990150040345
Abstract
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.
키워드
Parastomal hernia;Bowel obstruction
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