{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T05:14:53Z","timestamp":1783401293787,"version":"3.54.6"},"reference-count":14,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Acute parastomal hernia containing the stomach with subsequent mechanical gastric outlet obstruction is an exceedingly rare phenomenon given the anatomical fixation of the stomach. Herein, we present the case of an 81-year-old female with a history of a Hartmann\u2019s procedure who developed acute vomiting. She was found to have herniation of the stomach into the parastomal hernia sac with tight angulation of the gastroduodenal junction and, therefore, gastric outlet obstruction. Following decompression with a nasogastric tube, we report an open approach with circumstomal mesh for acute emergent repair.<\/jats:p>","DOI":"10.3390\/jcm15135193","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T14:51:25Z","timestamp":1783003885000},"page":"5193","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lateral Approach Circumstomal Open Retrorectus Mesh Repair with Transversus Abdominis Release and Three-Point Stomal Pexy for an Acute-on-Chronic Complex Parastomal Hernia Causing High-Grade Gastric Outlet Obstruction: A Case Report"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4532-8248","authenticated-orcid":false,"given":"Khang Duy Ricky","family":"Le","sequence":"first","affiliation":[{"name":"Department of Surgery, Launceston General Hospital, Launceston, TAS 7250, Australia"},{"name":"School of Medicine, Faculty of Health, Deakin University, Geelong, VIC 3220, Australia"},{"name":"Department of Medical Education, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, VIC 3010, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leon","family":"Yeung","sequence":"additional","affiliation":[{"name":"Department of Surgery, Launceston General Hospital, Launceston, TAS 7250, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleni","family":"Baird-Gunning","sequence":"additional","affiliation":[{"name":"Department of Surgery, Launceston General Hospital, Launceston, TAS 7250, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Lloyd","sequence":"additional","affiliation":[{"name":"Department of Surgery, Launceston General Hospital, Launceston, TAS 7250, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ijsu.2016.08.014","article-title":"The SCARE statement: Consensus-based surgical case report guidelines","volume":"34","author":"Agha","year":"2016","journal-title":"Int. J. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.1002\/bjs.4422","article-title":"Author\u2019s reply: Parastomal hernia (Br J Surg 2003; 90: 784\u2013793)","volume":"90","author":"Carne","year":"2003","journal-title":"Br. J. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"rjt029","DOI":"10.1093\/jscr\/rjt029","article-title":"Incarcerated and perforated stomach found in parastomal hernia: A case of a stomach in a parastomal hernia and subsequent strangulation-induced necrosis and perforation","volume":"2013","author":"Marsh","year":"2013","journal-title":"J. Surg. Case Rep."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e234325","DOI":"10.1136\/bcr-2020-234325","article-title":"Stomach in a parastomal hernia: A rare complication of stomas","volume":"13","author":"Ekowo","year":"2020","journal-title":"BMJ Case Rep. CP"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1007\/s10029-017-1697-5","article-title":"European Hernia Society guidelines on prevention and treatment of parastomal hernias","volume":"22","author":"Antoniou","year":"2018","journal-title":"Hernia"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"bcr0120125508","DOI":"10.1136\/bcr.01.2012.5508","article-title":"Stomach in a parastomal hernia: Uncommon presentation","volume":"2012","author":"Bota","year":"2012","journal-title":"BMJ Case Rep."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.ijscr.2018.10.049","article-title":"Parastomal stomach herniation complicated by gastric outlet obstruction: A case report and literature review","volume":"53","author":"Eastment","year":"2018","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_8","first-page":"e23536","article-title":"A case of gastric outlet obstruction secondary to parastomal stomach herniation","volume":"14","author":"Khan","year":"2022","journal-title":"Cureus"},{"key":"ref_9","first-page":"e22479.","article-title":"Incomplete gastric obstruction due to herniation of stomach into parastomal hernia: A case report","volume":"14","author":"Christodoulou","year":"2022","journal-title":"Cureus"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1001\/jamasurg.2022.7978","article-title":"Contemporary Outcomes of Elective Parastomal Hernia Repair in Older Adults","volume":"158","author":"Howard","year":"2023","journal-title":"JAMA Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1097\/DCR.0b013e3182a0e6e2","article-title":"Risk of Morbidity, Mortality, and Recurrence After Parastomal Hernia Repair: A Nationwide Study","volume":"56","author":"Helgstrand","year":"2013","journal-title":"Dis. Colon Rectum"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1097\/SLA.0b013e31824b44b1","article-title":"Surgical Techniques for Parastomal Hernia Repair: A Systematic Review of the Literature","volume":"255","author":"Hansson","year":"2012","journal-title":"Ann. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1097\/SLA.0000000000005422","article-title":"Favorable Outcomes After Retro-Rectus (Rives-Stoppa) Mesh Repair as Treatment for Noncomplex Ventral Abdominal Wall Hernia, a Systematic Review and Meta-analysis","volume":"276","author":"Hartog","year":"2022","journal-title":"Ann. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1007\/DCR.0b013e3181bdee8c","article-title":"Prospective audit of parastomal hernia: Prevalence and associated comorbidities","volume":"53","author":"Pilgrim","year":"2010","journal-title":"Dis. Colon Rectum"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/13\/5193\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T04:20:44Z","timestamp":1783398044000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/13\/5193"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,2]]},"references-count":14,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["jcm15135193"],"URL":"https:\/\/doi.org\/10.3390\/jcm15135193","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,2]]}}}