Post-colostomy internal hernia of the stomach treated with laparoscopic gastropexy: a case report
Internal hernias are formed by the protrusion of internal organs through an aperture formed congenitally or postoperatively. Internal hernias are most commonly associated with the small intestine.
A rare case of laparoscopic gastropexy treatment of a post-sigmoid colostomy internal hernia of the stomach was published in the Surgical Case Reports.
Internal hernias of the stomach comprise parastomal hernias and post-colostomy internal hernias . The stomach dilates after eating and descends into the pelvis through the space between the lifted sigmoid colon and the left abdominal wall. Therefore, the antrum is obstructed by the sigmoid colon, resulting in the internal hernia.
Till now only two cases of a post-sigmoid colostomy internal hernia of the stomach have been reported. This hernia arises from the space between the lifted sigmoid colon and the left abdominal wall. In the two aforementioned cases, treatment comprised suturing of the sigmoid colon to the lateral abdominal wall and changing of the intraperitoneal route to an extraperitoneal one. Herein, we present a very rare case who underwent laparoscopic gastropexy for a post-sigmoid colostomy internal hernia of the stomach.
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