Abstract
A 45-year-old man without a history of abdominal surgery presented with right lower abdominal pain. Abdominal radiography and computed tomography (CT) revealed a small bowel obstruction. There were no emergency indications, so a long tube was placed to decompress the bowel. The long tube improved the small bowel obstruction and he was discharged. Eight days later, he was admitted to the hospital again because of abdominal pain. Abdominal CT showed that the dilated and looped small bowel was compressing the anterior wall of the bladder in the right lower abdomen. A long tube was placed again to decompress the bowel. After improvement of the small bowel obstruction, laparoscopic surgery was performed. Laparoscopic findings revealed an internal supravesical hernia, so we performed a laparoscopic supravesical hernia repair via the transabdominal preperitoneal approach. It is difficult to diagnose internal supravesical hernias before surgery because they are rare.
