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Abdominal CT scan. Gallbladder herniated into the parastomal hernia (arrow).
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Due to the symptomatic nature of the parastomal hernia, we decided to perform an abdominal computed tomography scan (CT) (Fig. 1).
Intraoperative Findings. a) Gallbladder (G) within the parastomal hernia (arrow). b) Reduction of the gallbladder (G) out of the parastomal hernia (arrow) c) Parastomal hernia orifice (arrow) after reduction of the gallbladder (G).
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After elective laparotomy, the gallbladder was carefully reduced out of the parastomal hernia (Fig. 2) followed by retrograde cholecystectomy.