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Laparoscopic repair for a previously unreported form of ventral hernia on the right iliac fossa in an elderly emaciated woman

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Abstract

An 81-year-old emaciated woman was admitted to our hospital with a one-year history of recurrent bilateral inguinal swellings. Palpable lumps were observed not only in bilateral groin areas, but also on the right iliac fossa (RIF) of her abdomen. During a planned transabdominal preperitoneal laparoscopic herniorrhaphy, a previously unreported form of ventral hernia was observed at a position lateral and cranial to the right internal inguinal ring, which probably corresponded to the palpable lump on the RIF. The hernia orifice was 2 cm in diameter, and a vascular structure ran through the orifice. The contents of the hernia consisted of fatty tissue arising from the retroperitoneal tissue. Routine exploration revealed orifices of the following hernias: left indirect, right direct, bilateral femoral, bilateral obturator, and right Spigelian hernia. Her postoperative course was uneventful and a mass on the right lower quadrant disappeared after operation.

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Conflict of interest

TY, AK, AS, HM, and SM declare that they have no conflicts of interest.

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Authors and Affiliations

  1. First Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621, Nagano, Japan

    T. Yokoyama, A. Kobayashi, A. Shimizu, H. Motoyama & S. Miyagawa

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  1. T. Yokoyama
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  2. A. Kobayashi
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  3. A. Shimizu
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  4. H. Motoyama
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  5. S. Miyagawa
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Correspondence to A. Kobayashi.

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Yokoyama, T., Kobayashi, A., Shimizu, A. et al. Laparoscopic repair for a previously unreported form of ventral hernia on the right iliac fossa in an elderly emaciated woman. Hernia 19, 841–843 (2015). https://doi.org/10.1007/s10029-013-1180-x

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  • DOI: https://doi.org/10.1007/s10029-013-1180-x

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