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

Sirito R, Puppo A, Centurioni MG, Gustavino C

Department of Obstetrics and Gynaecology, Ospedale Evangelico Internazionale, Genova, Italy. rodolfo.sirito@fastwebnet.it

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.

Published 9 September 2005 in Am J Obstet Gynecol, 193(3): 878-80.
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