Perforated gallbladder in a parastomal hernia

Crane, Jasmine, Ari, Kaso, Lam, Stephen ORCID: and Lewis, Michael (2021) Perforated gallbladder in a parastomal hernia. BMJ Case Reports, 14 (6). ISSN 1757-790X

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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
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Depositing User: LivePure Connector
Date Deposited: 13 Dec 2021 13:30
Last Modified: 08 Mar 2024 16:30
DOI: 10.1136/bcr-2020-240030

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