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Crane, Jasmine, Ari, Kaso, Lam, Stephen 
ORCID: https://orcid.org/0000-0003-1040-938X and Lewis, Michael
(2021)
Perforated gallbladder in a parastomal hernia.
BMJ Case Reports, 14 (6).
ISSN 1757-790X
Abstract
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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | general surgery,radiology,medicine(all) ,/dk/atira/pure/subjectarea/asjc/2700 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 13 Dec 2021 13:30 |
| Last Modified: | 08 Mar 2024 16:30 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/82659 |
| DOI: | 10.1136/bcr-2020-240030 |
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