Laparoscopic repair of a bilateral internal inguinal hernia with supravesical hernia - a case report.
BACKGROUND
Supravesical hernia is an exceptional subtype of internal inguinal hernia, and it is located between the median umbilical ligament and the medial umbilical ligament. The hernia is classified as two types: internal supravesical hernia and external supravesical hernia.


METHODS
Herein we report a rare case of external supravesical hernia successfully treated by laparoscopic procedure. The patient who complained right inguinal protrusion and mild frequent urination was diagnosed as right inguinal hernia and potential of left inguinal hernia using computed tomography. He underwent laparoscopic bilateral hernia repair, and intraoperative findings revealed right external supravesical hernia and left internal inguinal hernia.


CONCLUSIONS
Laparoscopic hernia repair may make it possible to avoid overlooking of internal hernia such as supravesical hernia. Moreover it was possible to cover the hernia orifice and dissected layer of the dorsal site of urine bladder using bilateral approach in the current case.


CONCLUSIONS
In conclusions, laparoscopic hernia repair might be a surgical option for supravesical hernia.
Surgery and Gastroenterological Center, Rakuwakai Marutamachi Hospital, Japan; Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Japan. Electronic address: t-kwgch@koto.kpu-m.ac.jp.
Tsutomu
T
Kawaguchi
Surgery and Gastroenterological Center, Rakuwakai Marutamachi Hospital, Japan.
Tadao
T
Itoh
Surgery and Gastroenterological Center, Rakuwakai Marutamachi Hospital, Japan.
Kazuhiro
K
Yoshii
Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Japan.
Eigo
E
Otsuji
Inguinal hernia; Laparoscopic repair; Supravesical hernia