A 49-year-old man presented with a short history of abdominal distension, pain, vomiting and anuria. He had undergone radical cystoprostatectomy and ileal conduit diversion 5 years previously for transitional cell carcinoma (TCC) of the bladder (G3pT1+pTis). He had a parastomal hernia (a) that was managed conservatively as he refused further surgery. (Source: British Journal of Medical and Surgical Urology)