Intra peritoneal ascending colon in parastomal hernial sac

Moorat Singh Yadav, Zeeshanuddin Ahmad, Apoorv Sharma, Swapnil Wankhede, Pradeep Saxena


The rate of parastomal hernia reported varies from 5% to 80%. It forms when the abdominal wall defect is continually stretched by the tangential forces applied along the circumference of the abdominal wall opening. The presence of parastomal hernia along with intraperitoneal ascending colon, caecum and terminal ileum along with ileal perforation is a rare entity.


Parastomal hernia, Ascending colon, Laparotomy

Full Text:



Ronald A. Bergman, PhD Adel K. Afifi, MD, MS Ryosuke Miyauchi, MD. Large intestine. Illustrated Encyclopedia of Human Anatomic Variation: Opus IV: Organ Systems: Digestive System and Spleen, 2012. Available at:

Yoshida T, et al. Parastomal hernia with incarcerated necrosis at ascending colon 18 years after the construction of ileal conduit: a case report. Hinyokika Kiyo. 2007 Mar;53(3):187-9.

Arthur Jänes. Parastomal hernia: clinical studies on definitions and prevention. In: Arthur Jänes, eds. Umeå University Medical Dissertations. New Series No. 1362. Umeå, Sweden: Arkitektkopia; 2010: 6-60.

De Ruiter P, Bijnen AB. Successful local repair of paracolostomy hernia with a newly developed prosthetic device. Int J Colorectal Dis. 1992;7:132.

Gil G, Szczepkowski MS. A new classification of parastomal hernias - from the experience at Bielan´ski Hospital in Warsaw. Pol J Surg. 2011;83:430-7.

Beck, David E. Anatomy and embryology of the colon, rectum, and anus. In: Beck, David E, eds. The ASCRS Manual of Colon and Rectal Surgery. 1st ed. New York, NY: Springer; 2009: 19-20.