Strangulated Paraileostomy Hernia with Gangrenous Biliary Vesicle: A Case Report

Parastomal hernia (PH) is a type of incisional hernia which forms together with the opening of the abdominal wall used for the externalization of a stoma and the risk of parastomal hernia is increases in cases of technical error, advanced age, increased intraabdominal pressure, ascites, skin infection, intestinal constipation, malnutrition, chronic cough, obesity, diabetes mellitus, a sedentary lifestyle, immunosupression and corticosteroid use. Objective: The aim of this article is to report a case of paraileostomy hernia involving the biliary vesicle. Case report: female patient, 80 years of age, with a previous history of radical cystectomy with Bricker ileostomy, complaining of colic abdominal pain in the lower right quadrant for 5 days and gradual progression associated with vomiting and fecal constipation, but with the expulsion of flatulence. At admission the patient presented a distended abdomen, with evidence of a voluminous incisional hernia in the median operating wound, as well as paraileostomy hernia where pain and hyperemia were present in the anterior axillary line Conclusion: Incarceration and strangulation of the biliary vesicle in a paraileostomal hernia of a Bricker is an extremely rare gastrointestinal condition of urgency with a diagnosis made generally intraoperativel