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A 77-year-old female patient presented with nausea and abdominal pain over the previous 2 days. She had received an end colostomy 14 years earlier secondary to a Hartmann-type resection for acute diverticulitis. On physical examination, an incarcerated parastomal hernia was observed. CT scan showed the presence of gastric contents in the hourglass-shaped hernial sac (Fig. 1) as the cause of the intestinal obstruction. We performed a keyhole hernia repair. The patient died in the postoperative period due to COVID.
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The authors have received no funding and have no conflict of interest.
