Perforated gallbladder in a parastomal hernia
| Autor: | Stephen Lam, Jasmine Crane, Michael Lewis, Kaso Ari |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Hernia medicine.medical_treatment Case Report 030230 surgery Enterotomy Gallbladder perforation 03 medical and health sciences Ileostomy 0302 clinical medicine Abdomen medicine Humans Cholecystectomy Aged 80 and over business.industry General surgery Gallbladder General Medicine Emergency department medicine.disease medicine.anatomical_structure 030211 gastroenterology & hepatology Female medicine.symptom business |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | We present an 87-year-old woman who presented to the emergency department with a 7-day history of severe abdominal pain at her ileostomy parastomal hernia site. Prior to presentation, her general practitioner had started her on a reducing steroid dose for suspected Crohn’s disease exacerbation. On examination, she had a distended abdomen with localised guarding and tenderness over her hernia site. A CT scan demonstrated an incarcerated perforated gallbladder within her parastomal hernia. Successful surgical management was performed involving an enterotomy, refashioning her ileostomy and an open cholecystectomy. The patient recovered well with a short postoperative stay. This report is intended as a guide for clinicians in the differential diagnoses for acute abdominal pain and an unusual presentation of a gallbladder perforation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|