Microquasars, the local siblings of extragalactic quasars, are binary systems comprising a compact object and a companion star. By accreting matter from their companions, microquasars launch powerful winds and jets, influencing the interstellar environment around them. Steady gamma-ray emission is expected to rise from their central objects, or from interactions between their outflows and the surrounding medium. The latter prediction was recently confirmed with the detection of SS 433 at high (TeV) energies(1). In this report, we analyse more than ten years of gigaelectronvolt gamma-ray data from the Fermi Gamma-ray Space Telescope on this source. Detailed scrutiny of the data reveal emission in the vicinity of SS 433, co-spatial with a gas enhancement, and hints of emission possibly associated with a terminal lobe of one of the jets. Both gamma-ray excesses are relatively far from the central binary, and the former shows evidence of a periodic variation at the precessional period of SS 433, linking it with the microquasar. This result challenges obvious interpretations and is unexpected from previously published theoretical models. It provides us with a chance to unveil the particle transport from SS 433 and to probe the structure of the magnetic field in its vicinity. Ten years of gamma-ray data reveal emission in the vicinity of the microquasar SS 433 that is co-spatial with an interstellar gas enhancement and varies periodically at the precessional period of SS 433, challenging existing theoretical models.