ABSTRACT
CHALLENGING CASE A 55-year-old morbidly obese male undergoes a low anterior resection with concomitant defunctioning loop ileostomy for a T2 rectal cancer. Six weeks postoperatively, he presents to the clinic with an obvious parastomal hernia that is easily reducible. He complains of worsening pain, difficulty with application of his ostomy appliances, and symptoms of intermittent obstruction.
