title: Laparoscopic reduction and repair of a strangulated interparietal inguinal hernia.
abstract: An interparietal hernia is defined as a hernia in which the hernial sac lies between the tissue layers comprising the abdominal wall. A strangulated interparietal inguinal hernia without an external bulge is a rare cause of an acute abdomen and difficult to diagnose preoperatively. We report a patient with a history of a right inguinal hernia who presented with abdominal pain without inguinal bulging. An interparietal (preperitoneal) inguinal hernia was diagnosed and treated by laparoscopic reduction and a transabdominal preperitoneal hernia repair. This is the first case report of an interparietal inguinal hernia managed entirely laparoscopically. Although the laparoscopic approach is not considered standard treatment for strangulated intestinal obstruction, it may be worth considering, especially for patients with uncertain etiology, because of its decreased invasiveness compared to open exploration.
authors.affiliation: Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center (Noguchi Hideyo Memorial International Hospital), Urayasu, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Sakamoto
authors.affiliation: Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center (Noguchi Hideyo Memorial International Hospital), Urayasu, Japan.
authors.forename: Mayu
authors.initials: M
authors.lastname: Shimaguchi
authors.affiliation: Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center (Noguchi Hideyo Memorial International Hospital), Urayasu, Japan.|Department of Surgery, Jichi Medical University, Shimotsuke, Japan.
authors.forename: Alan K
authors.initials: AK
authors.lastname: Lefor
authors.affiliation: Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center (Noguchi Hideyo Memorial International Hospital), Urayasu, Japan.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Kishida
mesh_terms: D000006:Abdomen, Acute; D003287:Contrast Media; D006552:Hernia, Inguinal / Q000175:diagnosis* / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media
keywords: Inguinal hernia; intestinal obstruction; laparoscopic surgery