Gastric Incarceration in a Peristomal Hernia

The patient is a 91-year-old woman with a history of adenocarcinoma of the rectum 4 cm from the anal margin, who had been treated in November 2015 with laparoscopic ultralow anterior resection (pT3 N0 M0) and terminal colostomy as she was elderly.

She came to the Emergency Room with symptoms of bowel obstruction as a consequence of an incarcerated pericolostomy incisional hernia. An abdominal CT scan showed evidence of a voluminous peristomal incisional hernia containing the gastric antrum and jejunal loops, with no signs of perforation (Figs. 1 and 2). The laparoscopic repair of the incisional hernia was performed with intraperitoneal repair using “key-hole” mesh, with no postoperative incidences.

Fig. 1

Fig. 2