Skip to main content
SpringerLink
Log in

A case of combined laparoscopic reduction and open preperitoneal mesh repair for incarcerated small bowel in a retroperitoneal hernia between the external and internal iliac vessels

  • Case Report
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

We report a rare case of an incarcerated retroperitoneal hernia with or involving the small bowel through the orifice between the right external and internal iliac vessels. A 39-year-old woman was admitted to our hospital because of vomiting and abdominal pain. She had a history of right oophorocystectomy and appendectomy. Abdominal computed tomography revealed small bowel obstruction resulting from an incarcerated retroperitoneal hernia. The small bowel herniated into the retroperitoneal fossa through the orifice between the right external and internal iliac vessels. Laparoscopic reduction of the small bowel was performed, followed by ligation of the sac and placement of a mesh prosthesis through the preperitoneal approach, using a lower midline incision along the previous laparotomy scar. Her postoperative course was uneventful and no recurrence has been observed after surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Takeyama N, Gokan T, Ohgiya Y, Satoh S, Hashizume T, Hataya K, Kushiro H, Nakanishi M, Kusano M, Munechika H (2005) CT of internal hernias. Radiographics 25(4):997–1015

    Article  PubMed  Google Scholar 

  2. Langley GF (1935) Strangulated internal hernia: report of cases of strangulation in the fossa iliaco-subfascialis and through the foramen of winslow. Br J Surg 23:119–127

    Article  Google Scholar 

  3. Hoogendam JP, Zweemer RP, Schaap TP, Schreuder WR, Veldhuis WB (2014) CT, MRI and laparoscopy findings of a retroperitoneally herniated ovary causing acute abdominal pain. Hernia 18:915–917

    Article  CAS  PubMed  Google Scholar 

  4. Franz MG (2008) The biology of hernia formation. Surg Clin N Am 88:1–15

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Okayama Saiseikai General Hospital, 1-17-18 Ifuku, Kita, Okayama, 700-8511, Japan

    R. Morisue, R. Shoji & H. Kawamoto

  2. Department of Emergency, Okayama Saiseikai General Hospital, 1-17-18 Ifuku, Kita, Okayama, 700-8511, Japan

    M. Inaba

Authors
  1. R. Morisue
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Inaba
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Shoji
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. H. Kawamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to R. Morisue.

Ethics declarations

Conflict of interest

The authors have no conflict of interest to declare.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (PPTX 6924 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Morisue, R., Inaba, M., Shoji, R. et al. A case of combined laparoscopic reduction and open preperitoneal mesh repair for incarcerated small bowel in a retroperitoneal hernia between the external and internal iliac vessels. Hernia 21, 657–660 (2017). https://doi.org/10.1007/s10029-016-1555-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-016-1555-x

Keywords

Search

Navigation