J Korean Surg Soc.  2012 Sep;83(3):179-182. 10.4174/jkss.2012.83.3.179.

Incarcerated internal hernia within a huge irreducible parastomal hernia with intestinal obstruction: a rare case report of "hernia within hernia"

• Lou JY
• Wu YL
• Wu D

• KMID: 2212292
• DOI: http://doi.org/10.4174/jkss.2012.83.3.179

Abstract

We report an incarcerated internal hernia in a huge irreducible parastomal hernia-"hernia within hernia." A 70-year-old obese woman with diabetes who underwent an abdomino-perineal resection 20 years ago was admitted to our hospital with 20 years history of a huge irreducible bulge, 25 cm in diameter. An internal hernia due to an adhesive band extending from the sac wall to proximal colon was found in the parastomal hernia sac during an emergency laparotomy. We cut off the distal colon and relocated the colostomy stoma. The patient was discharged uneventfully 2 weeks after the surgery and was readmitted to have a further laparoscopic hernia repair 8 months later. Unfortunately, an unrecognized enterotomy occurred during the secondary surgery that led to an additional laparotomy during which the mesh was not contaminated by the bowel contents and was kept in place. At 22-month follow-up, there were no evidences of recurrence.

Keyword

Ventral hernia; Incarceration; Intestinal obstruction; Herniorrhaphy

MeSH Terms

Adhesives
Aged
Colon
Colostomy
Emergencies
Female
Follow-Up Studies
Hernia
Hernia, Ventral
Herniorrhaphy
Humans
Hypogonadism
Intestinal Obstruction
Laparotomy
Mitochondrial Diseases
Ophthalmoplegia
Recurrence
Adhesives
Hypogonadism
Mitochondrial Diseases
Ophthalmoplegia