Strangulated ileostomy evisceration following lateralizing mesh repair of parastomal hernia

Hernia. 2016 Apr;20(2):327-30. doi: 10.1007/s10029-014-1259-z. Epub 2014 Apr 29.

Abstract

Parastomal hernia formation and ostomy prolapse are relatively common complications of intestinal ostomy construction. Underlay mesh placement with lateralization of the stoma limb appears to be the method of repair with the lowest recurrence rate. Prophylaxis of new stomas with mesh is advocated by many authors. We report the case of an 81-year-old man with chronic steroid-dependent COPD who presented to the emergency department with strangulated small bowel evisceration 9 days following completion abdominal colectomy, and creation of an end ileostomy reinforced with intraperitoneal mesh. This rare complication was related to this patient's risk factors for poor healing including poor nutrition, age, chronic COPD and coughing and steroid dependence with immunosuppression.

Keywords: Colostomy; Ileostomy; Intraperitoneal mesh repair; Parastomal hernia; Stoma–evisceration.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Cough / complications
  • Hernia, Ventral / complications
  • Hernia, Ventral / surgery*
  • Herniorrhaphy / adverse effects*
  • Humans
  • Ileostomy / adverse effects*
  • Male
  • Pulmonary Disease, Chronic Obstructive / complications
  • Recurrence
  • Surgical Mesh
  • Surgical Stomas / adverse effects*