Incisional hernia on the 5-mm trocar port site and subsequent wall endometriosis on the same site: a case report.
A 26-year-old nulliparous woman underwent a laparoscopy to remove a 10-cm endometrial cyst on the left ovary (type II Nezhat). The cyst was extracted from the 10-mm umbilical incision; the other 2 trocars were inserted through 5-mm incisions. One year later, in correspondence to the previous 5-mm incision site, a hernia occurred that contained omentum and was reduced easily with a local anesthetic. After 2 years of good health, an aching nodule occurred on the same trocar site; vaginal ultrasound examination showed another left ovarian cyst. A second laparoscopy was performed; the cyst was very adherent and was removed in fragments. The wall nodule was removed, and the histologic examination classified it as endometriosis.
Sirito
Rodolfo
R
Department of Obstetrics and Gynaecology, Ospedale Evangelico Internazionale, Genova, Italy. rodolfo.sirito@fastwebnet.it
Puppo
Andrea
A
Centurioni
Maria Grazia
MG
Gustavino
Claudio
C
D000328:Adult; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006547:Hernia / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D009852:Omentum; D010048:Ovarian Cysts / Q000601:surgery*; D010049:Ovarian Diseases / Q000601:surgery*; D011677:Punctures / Q000009:adverse effects; D012008:Recurrence; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000601:surgery