2021 Volume 41 Issue 6 Pages 469-472
A 53-year-old woman visited our hospital with the complaint of a left inguinal bulge and an uncomfortable sensation in the abdomen. The bulge was as large as a ping pong ball in size, with tension, but no redness, of the overlying skin. Based on the findings, she was diagnosed as having an incarcerated inguinal hernia. During abdominal ultrasonography, the hernia could be reduced by compression with the ultrasound transducer. Abdominal CT showed some fat tissue and ascites in the left inguinal area. Emergency laparoscopic surgery was performed. The intraoperative diagnosis was supravesical hernia, because laparoscopically, the hernia orifice was found to be located just medial to the medial umbilical ligament. The herniated, incarcerated segment of the intestine was reddish in color; however, as there was no evidence of necrosis, laparoscopic repair was performed via the transabdominal approach（TAPP）. We report a case of incarcerated external supravesical hernia that was successfully treated by laparoscopic surgery.
