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Incarcerated intestinal hernia in a hernia sac of reversed ileal conduit wall protruding through the stoma
Author(s) -
Izumi Kouji,
Kono Masanori,
Kato Hiroaki,
Mihara Shinya,
Tsukahara Kenji,
Namiki Mikio
Publication year - 2007
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2007.01775.x
Subject(s) - medicine , stoma (medicine) , electrical conduit , hernia , abdominal wall , surgery , ileostomy , cystectomy , stenosis , colostomy , general surgery , radiology , mechanical engineering , bladder cancer , cancer , engineering
The case is reported of incarcerated intestinal hernia in a hernia sac of reversed ileal conduit wall protruding through the stoma. An 82‐year‐old woman presented with suspected parastomal intestinal hernia. The patient had undergone total cystectomy with ileal conduit construction 3 years previously, followed by stomal reconstruction surgery for stomal stenosis 2 years later. She had been taking various kinds of purgatives for severe constipation. Initially, this case was diagnosed as parastomal hernia, but emergency surgery demonstrated that incarcerated intestinal hernia in a hernia sac of reversed ileal conduit wall was protruding through the stoma. This case was apparently caused by high abdominal pressure and thinning of the ileal conduit wall.