Baço migratório em hérnia paraestomal

• Main Authors: César Guerreiro de Carvalho, Carlos Eduardo Pereira do Vale, Paulo César de Castro Jr., Thiago Borges Frade
• Format: Article
• Language: English
• Published: Colégio Brasileiro de Cirurgiões
• Series: Revista do Colégio Brasileiro de Cirurgiões
• Subjects: Wandering spleen; Parastomal, hernia; Laparoscopy; Surgery
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912008000500015&lng=en&tlng=en

The authors report a case of a parastomal hernia that incarcerated a wandering spleen. We present a very rare case of an 85-year-old woman with a giant parastomal hernia. Computed tomography revealed a parastomal hernia with a wandering spleen inside. We introduce a different and simple alternative approach, with the smallest inconvenience as possible to solve the trouble. We carried out the treatment with a prosthetic repair closing the defect with ePTFE mesh, performed through a laparoscopic approach, intraperitoneal, like a tie and move the spleen back to its anatomical place. The result was excellent.