Gallbladder in the Wrong Neighbourhood: Tackling Para-Urostomal Herniated Cholecystitis With Open Cholecystostomy.

Acute cholecystitis is usually managed with a cholecystectomy. Percutaneous cholecystostomy serves as a viable alternative when cholecystectomy is not appropriate. While parastomal hernias are a frequent complication of stomas, we present an unusual case of an elderly man with acute cholecystitis developing within a para-urostomal hernia. Given his significant comorbidities and personal preference, an open/surgical cholecystostomy under local anaesthesia was successfully performed, demonstrating a tailored approach to the management of a complex clinical scenario.