Presentation
The patient started to complain of diffuse abdominal pain as well as a tense tender bulge adjacent to the stoma opening.
Patient Data
![](https://prod-images-static.radiopaedia.org/images/53277684/7ff7b23b958a52e4e2f8b2c074dd1d_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/53277769/87f6cf15a4eb2b67b30160c0071aca_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/53277868/9a1bbff8f465dcf5a252c0ff4193b1_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/53277684/7ff7b23b958a52e4e2f8b2c074dd1d_big_gallery.jpeg)
There is a cluster of small bowel loops and bowel mesentery protruding through the abdominal wall muscles adjacent to stoma associated with free fluid and fatty stranding.
Proximal abnormally dilated and fluid-filled small bowel loops with mesenteric fatty stranding.
Bilateral renal cysts are noted.
The colon is non-visualized due to the previous total colectomy.
Case Discussion
Parastomal hernia considered the most common occurred long-term stoma complication with incidence reaches 50% 1.
In the above case, it leads to small bowel obstruction.