Abstract
A 63-year-old woman suffered from abdominal pain and frequent vomiting and lost 7 kg over the previous 2 months. She was referred to our hospital, because fecal vomiting appeared after administration of cathartic before colonoscopy. Strained distention was palpated in the left inguinal region, and computed tomography (CT) scan revealed a left femoral hernia. In the diagnosis of the incarceration of the left femoral hernia, emergent laparoscopic hernia repair was done. Although she was once discharged 6 days later after the operation, she was readmitted because of frequent vomiting. CT scan and small bowel series demonstrated circumferential stenosis of the small intestine and distension of the oral intestine. Laparoscopy revealed enteric intussusception. After manually fixing the intussusception, partial resection of the small bowel was performed. There was no organic disease at the invaginated portion. After reoperation, the patient did well and she regained body weight.