A case of extraperitoneal stoma-associated internal hernia after abdominoperineal resection

World Journal of Surgical Oncology

Case Report

Toshiaki Tanaka¹  Takamitsu Kanazawa¹  Soichiro Ishihara¹  Hironori Yamaguchi¹  Satomi Yoneyama¹  Hiroaki Nozawa¹  Shinsuke Kazama¹  Junichiro Tanaka¹  Toshiaki Watanabe¹  Eiji Sunami¹  Kazushige Kawai¹  Tomomichi Kiyomatsu¹  Joji Kitayama¹  Yuichiro Yokoyama¹ 

[1] Division of Surgical Oncology, Department of Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan;

关键词: Abdominoperineal resection;    Extraperitoneal stoma;    Internal hernia;    Rectum;   

DOI  :  10.1186/1477-7819-12-141

 received in 2014-03-14, accepted in 2014-04-20,  发布年份 2014

来源: Springer

【 摘 要 】

Published reports concerning internal hernias after extraperitoneal stoma construction are scarce. In our present report, we describe the case of a 56-year-old man who was referred to our hospital for the treatment of rectal cancer. He underwent abdominoperineal resection of the rectum with sigmoidostomy using an extraperitoneal route. On the ninth postoperative day, the patient experienced sudden and intense abdominal pain and was diagnosed with strangulation of the small intestine due to a stoma-associated internal hernia. Therefore, an emergency laparotomy was performed. The surgical findings showed that the small intestine protruded through the space between the sigmoid colon loop and the abdominal wall in a cranial-to-caudal direction. The strangulated portion of the small intestine was recovered, and the orifice of herniation was closed. No recurrence of internal herniation was observed during the follow-up period.

【 授权许可】

CC BY   
© Yokoyama et al.; licensee BioMed Central Ltd. 2014