We report the rare case of an acalculous, gangrenous cholecystitis on a, previously healthy, outpatient COVID-19 adult. The 53-year-old patient presented to the emergency department due to epigastric pain and fever and was admitted to the COVID-19 department. Due to clinical and laboratory deterioration, a computed tomography scan was performed that confirmed the diagnosis of acalculous cholecystitis. The patient was submitted to laparoscopic cholecystectomy. Intraoperatively, a gangrenous gallbladder was identified. Immunohistology validated the presence of specimen wall vasculitis and vessel thrombosis.
Parastomal hernia is the most common complication after surgical procedures that lead to the creation of a stoma. Most commonly in the hernia sac, there is omentum or small intestine or colon. The presence of the stomach as hernia's content is a rare event. Herein, we present the case of a 68-year-old woman, who was hospitalized in our surgical unit with incomplete gastric obstruction due to herniation of the stomach into a parastomal hernia and who was managed conservatively.
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