Two Cases of an External Supravesical Hernia and an External Inguinal Hernia Repaired by Laparoscopic Surgery

Abstract

A 59-year-old man presented with a left inguinal protrusion. A CT scan showed the presence of a left direct inguinal hernia. Transabdominal preperitoneal repair was performed to establish a diagnosis of coexisting left external supravesical and left indirect inguinal hernias. A 55-year-old man who had a history of surgery for a right inguinal hernia presented with bilateral inguinal protrusions. Computed tomography (CT) showed a right recurrent direct inguinal hernia and a left indirect inguinal hernia. Transabdominal preperitoneal repair was performed, establishing a diagnosis of coexisting left external supravesical, left indirect inguinal, and right recurrent direct inguinal hernias. Only few cases of external supravesical hernias have been reported in Japan, and the preoperative diagnosis tends to be difficult. Laparoscopic surgery is useful for making an accurate intraoperative diagnosis of coexisting inguinal hernias.