Abstract
We report a case with a supravesical hernia showing both external and internal type features. A 59-year-old man who had felt inguinal bulging for 10 years was admitted because of abdominal pain and vomiting. He was found by abdominal computed tomography to have a dilated small intestine pressing the bladder and thereby causing a caliber change in the small intestine. Internal hernia was suspected and emergency surgery was conducted, establishing a diagnosis of strangulated ileus due to incarceration of the ileum in the supravesical hernia. We partially resected the ischemic ileum and closed the hernia orifice. His postoperative course was uneventful. External supravesical hernia and internal supravesical hernia are both very rare. To our Knowledge this is the first report of a supravesical hernia with both external and internal type features.
