Abstract
A 66-year-old man was admitted to our hospital because of right inguinal swelling. The patient was diagnosed with bilateral inguinal hernia based on preoperative diagnostic imaging. Totally extra-peritoneal (TEP) repair was performed ; however, on postoperative day 1, the right inguinal swelling relapsed, and computed tomography (CT) revealed a fat-density mass in the right inguinal region. We reexamined the preoperative CT scans and observed that the right inguinal hernia was found to be a sliding lateral inguinal hernia, from which the preperitoneal fat around the bladder had slipped out. We therefore suspected that the fat-density mass represented the preperitoneal fat of the leading part of the sliding hernia. On postoperative day 2, reoperation was performed to remove the fat tissue via a frontal approach. The fat tissue was composed of sliding preperitoneal fat and the hernia sac. We herein report our experience with this case of sliding indirect hernia requiring an anterior repair immediately after undergoing an initial TEP repair.
