대한대장항문학회

A parastomal hernia is an incisional hernia in relation to an intestinal stoma on the<br>abdominal wall and a common complication after stoma formation. Most parastomal hernias<br>are relatively asymptomatic, but sometimes, a loop of bowel may become trapped in the sac,<br>resulting in obstruction or strangulation. We reported a case with a para- colostomy hernia<br>causing small bowel obstruction in a 45-years-old female who had had a transverse loop<br>colostomy for severe rectovaginal fistula 2 years before due to recurrent cervix cancer. The<br>patient required resection of gangrenous portions of small bowel and large bowel. A review of<br>the preventative information of parastomal hernia and management is discussed. A<br>parastomal hernia shonld be considered as a cause of small bowel obstruction in anyone who<br>has a stoma. Early detection and repair of the strangulated hernia are recommended.<br>