port site hernia with presentation of increasing in creatinine

Incisional hernia is defined as dehiscence of fascia and bowel obstruction. the clinical manifestation includes gross disruption of the wound with drainage, presence of a bulging with exertion or valsalva maneuver, painful continuous bulge if bowel or omentum is incarcerated, and bowel obstruction or infarction. we report a 63-year-old woman with the history of three times cesarean section with a midline incision. she was operated for ovarian tumor. total laparoscopic hysterectomy and lymphadenectomy was performed. she attended to hospital 5 days after surgery with the chief complaint of abdominal pain, nausea, and vomiting. there was a bulge tender around the umbilical port and patient’s creatinine was 4 mg/dl in laboratory test. the ultrasound confirmed a port site hernia. a strangulated hernia was diagnosed and treated with laparotomy.