Acute appendicitis in an incarcerated hernia sac at the laparoscopic trocar entrance

Abstract

Rarely, appendix vermiformis can be detected in abdominal wall hernias such as inguinal, obturator, umbilical and incisional hernias. Detection of the appendix in the hernia formed at the laparoscopic trocar entrance is extremely rare. We treated a 58-year-old female patient with acute appendicitis in an incarcerated hernia sac at the laparoscopic trocar entrance with laparoscopic appendectomy and laparoscopic mesh hernioplasty. In order to prevent the development of hernia at the trocar entrance, the fascia at this place should be sutured in laparoscopic operations.