Parastomal herniation of the entire gallbladder and postoperative complications from bile leakage via a subvesical bile duct.

Parastomal herniation (PSH) is a common complication after establishing an enterotomy. The hernia typically contains omentum, small bowel, colon, and rarely other viscera. We present the case of an 83-year-old woman with PSH of the entire gallbladder containing gallstones with acute cholecystitis and necrosis due to torsion of the gallbladder neck. Surgery was complicated by fascial dehiscence with reactive small bowel obstruction caused by bile leakage from a subvesical bile duct. The case illustrates the high level of complexity related to the surgical treatment of organ herniation and raises awareness that such surgery poses significant risks of postoperative complications.