Markham D W, Ruppert M, Noel R, Surawicz C M
Department of Medicine, University of Washington School of Medicine, Seattle, USA.
J Clin Gastroenterol. 1996 Apr;22(3):218-9. doi: 10.1097/00004836-199604000-00014.
A parastomal hernia is an incisional hernia that occurs at the site of an intestinal stoma on the abdominal wall. We report the case of a 52-year-old woman who had had ulcerative colitis and a total colectomy and ileostomy 9 years before being evaluated for a 2-year history of intermittent small-bowel obstruction thought initially to be due to Crohn's disease. On examination, a clear parastomal hernia was detected and confirmed by a small-bowel series. At surgery the hernia was corrected, and her intermittent episodes of small-bowel obstruction resolved. A parastomal hernia should be considered as a cause of intermittent small-bowel obstruction in anyone who has a stoma. Careful history and physical examination should suffice in establishing a diagnosis.
造口旁疝是一种发生在腹壁肠造口部位的切口疝。我们报告一例52岁女性病例，该患者有溃疡性结肠炎病史，9年前接受了全结肠切除术和回肠造口术，此次因间歇性小肠梗阻2年前来评估，最初认为是克罗恩病所致。经检查，发现一个明显的造口旁疝，并通过小肠造影得以证实。手术中对疝进行了修复，患者间歇性小肠梗阻发作得以缓解。对于任何有造口的患者，都应考虑造口旁疝是间歇性小肠梗阻的一个病因。详细的病史和体格检查足以确立诊断。
