(Disclaimer: This article is only for popular science purposes, in order to protect the privacy of patients, the relevant information in the following content has been processed) Abstract: colostomy is prone to parastomal hernia, parastomal hernia refers to herniated intestinal hernias around the stoma, stoma bulge, but also cause intestinal obstruction, abdominal pain, abdominal distension, nausea, vomiting and other symptoms, the mild case is improved by conservative treatment, and the severe case requires emergency surgery. In this case, the patient was diagnosed with parastomal hernia and intestinal obstruction, and the intestinal obstruction disappeared after conservative treatment, and then the patient was given parastomal hernia repair surgery to repair the parastomal hernia, and the symptoms of abdominal pain, vomiting, and bloating disappeared and the disease was cured after the surgery. Basic information] Female, 70 years old [Type of disease] Parastomal hernia, intestinal obstruction [Hospital] Zhongda Hospital, Southeast University [Date of consultation] February 2022 [Treatment plan] Gastrointestinal decompression + nutritional supportive therapy + laparoscopic parastomal hernia repair [Treatment cycle] 22 days of hospitalization, outpatient follow up for 3 months [Effect of treatment] Intestinal obstruction cured, parastomal hernia cured, no recurrence in the 3 months of follow up. The patient was diagnosed with rectal cancer many years ago and underwent laparoscopic radical rectal cancer surgery + sigmoid stoma 1.5 years ago. One year after the operation, there was a bulging around the stoma without any obvious discomfort, but she felt that the stoma was half bulging and her stomach became bigger and unsightly, so she did not pay attention to it. Half a year ago, abdominal pain, vomiting and flatulence occurred, and the bulging of the stoma area became more serious, accompanied by obvious pain, and the stoma no longer defecated, so she came to our hospital. CT examination was performed in outpatient clinic, which showed intestinal obstruction caused by parastomal hernia of the colon and obvious accumulation of fluid and gas in the small intestine in the parastomal hernia, diagnosed as parastomal hernia and intestinal obstruction, and admitted to the hospital for treatment. After admission, the patient was asked about his medical history, and he complained that he had similar abdominal pain episodes in the past, but the condition was mild and could be relieved by himself after half a day. This time, the attack was severe, and the abdominal pain and distension were more obvious than before, so the patient had to seek medical treatment. After learning about the patient’s own situation, he was told that intestinal obstruction should be treated conservatively first, and if conservative treatment is ineffective, emergency surgery may be needed. The patient agreed, and was first instructed to fast and abstain from food and water, gastrointestinal decompression, and nutritional support therapy for half a month. Through half a month of conservative treatment, the patient complained that the abdominal pain did not worsen, and the abdominal distension was slowly reduced, while the stoma defecation was resumed, and the intestinal obstruction was completely relieved. Afterwards, we explained to the patient that although the intestinal obstruction was relieved, the parastomal hernia still existed and would still recur, so it was necessary to carry out parastomal hernia repair in time. After consideration, the patient and his family agreed to undergo surgery. Subsequently, laparoscopic parastomal hernia repair was performed, and the operation was relatively satisfactory. The patient was discharged from the hospital 1 week after the operation, and was instructed to follow up in the outpatient clinic for 3 months. In conclusion: through active and effective treatment, the patient’s intestinal obstruction and parastomal hernia were cured. IV. Precautions It is gratifying that the patient was discharged from the hospital after 22 days of treatment, and it is fortunate that the patient’s intestinal obstruction was able to improve through conservative treatment during the whole treatment process. The patient was told to pay attention to the following points after discharge: 1, after going home, observe the wound every day for redness, swelling, oozing and infection, and if any of the above situations occurs, consult a doctor for review; 2, pay attention to observing the defecation situation of the stoma and the color of the skin and mucous membrane around the stoma; 3, pay attention to the regularity of the diet, avoid overeating and keep a light diet, and pay attention to the abdominal pain and bloating when eating to avoid recurrence of the intestinal obstruction. V. Personal perception Parastomal hernia is a common complication in patients with intestinal stoma, and it belongs to the more tricky complications. Parastomal hernia can easily cause many complications, including intestinal obstruction. Therefore, patients with obvious parastomal hernias, especially those with abdominal pain, should seek prompt medical treatment for parastomal hernia repair to avoid complications. The good news is that most parastomal hernias can be treated with minimally invasive laparoscopic surgery, which greatly facilitates the recovery process. If the same case patient has already developed intestinal obstruction, he should be treated promptly in order to release the intestinal obstruction and then undergo parastomal hernia repair to avoid recurrence of intestinal obstruction or other complications.