Incisional hernia on the 5-mm trocar port site and subsequent wall endometriosis on the same site: A case report

Rodolfo Sirito, Sirito R, Andrea Puppo, Puppo A, Maria Grazia Centurioni, Centurioni MG, Claudio Gustavino, Gustavino C
American journal of obstetrics and gynecology · 2005 · vol. 193(3) , pp. 878–880 · doi:10.1016/j.ajog.2005.02.121 · PMID:16150294 · W1984291117
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A 26-year-old woman developed a hernia at a 5-mm trocar site one year after laparoscopy, followed by a painful nodule at the same site two years later which was diagnosed as endometriosis.

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Abstract

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.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Hernia Laparoscopy Ovarian Cysts Ovarian Diseases Surgical Wound Dehiscence Adult Endometriosis Female Hernia Herniorrhaphy Humans Laparoscopy Omentum Ovarian Cysts Ovarian Diseases Punctures Punctures Recurrence Surgical Wound Dehiscence

Citation neighborhood

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References (2)

Cited by (18)

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