Frankl Joseph, Michailidou Maria, Maegawa Felipe
University of Arizona College of Medicine, 1501 N. Campbell Ave., Tucson, AZ 85724, USA.
Department of Surgery, University of Arizona College of Medicine, 1501 N. Campbell Ave., Tucson, AZ 85724, USA.
Radiol Case Rep. 2017 Jun 22;12(3):508-510. doi: 10.1016/j.radcr.2017.05.009. eCollection 2017 Sep.
Parastomal gallbladder herniation is a rare complication of enterostomies with only 6 previously reported cases. Most cases have occurred in elderly women. Patients typically presented with acute abdominal pain and the majority was managed operatively. Here, we report the clinical course of an 88-year-old female who presented with signs of sepsis and minimal abdominal symptoms. She was subsequently found to have a parastomal gallbladder herniation and bacteremia. Given the patient's multiple comorbidities, she was managed nonoperatively with manual reduction of the parastomal hernia and antibiotics.
造口旁胆囊疝是肠造口术的一种罕见并发症，此前仅有6例报道。大多数病例发生在老年女性。患者通常表现为急性腹痛，多数通过手术治疗。在此，我们报告一名88岁女性的临床病程，她表现出败血症体征和轻微腹部症状。随后发现她患有造口旁胆囊疝和菌血症。鉴于患者有多种合并症，对其进行了非手术治疗，包括手动还纳造口旁疝和使用抗生素。
