Abstract
This paper presents a case of external hernia of fovea supravesicalis diagnosed laparoscopically and repaired by mesh plug method, together with some bibliographical comments.
A 76-year-old woman was admitted to the hospital because of a right inguinal tumor. A laparoscope was inserted under general anesthesia to make pneumoperitoneum, when a hernia opening was present in the inner part from the right inside umbilicus fold. We were able to diagnose the case as external hernia of fovea supravesicalis. But the hernia opening in this case differed from usual circular and concave hernia openings and looked like a slit. We had great difficulty with making the diagnosis even by an aid of laparoscopy. Due to patient's request, it was repaired by using mesh plug method. Postoperative course was uneventful and there have been no signs of recurrence as of one year after the operation.
External hernia of fovea supravesicalis has been reported in nine cases including this case so far, but this may be the first report that mesh plug method is used for the disease.
