2021 Volume 46 Issue 2 Pages 209-218
The patient was an 87-year-old woman who had been diagnosed as having a ventral hernia by her family physician based on the physical findings. She visited the emergency department of our hospital with a 2-week history of swelling of the median epigastric region and abdominal pain. Although incarceration was suspected, the swelling could be manually reduced. Abdominal CT showed a 1.5×1.5 cm hernia in the midline of the upper abdomen, and we diagnosed linea alba hernia. We planned her operation as a semi-emergency operation, because it could not be mesenteric ischemia. Intraoperatively, a 1.5×1.8 cm fascia defect was found in the abdomen, and the defect was closed with simple sutures. The patient was discharged on day 3 after the operation, and until now, one and a half years since the surgery, she has remained free of recurrence. This was a rare case of an elderly non-obese woman with no past medical history with linea alba hernia. We report this case herein, with a review of 98 previously reported cases of white line hernia.
