A Case of Sciatic Hernia

Naoya Imamura, Toshio Shimayama, Hideto Sueta, Kikuo Kawano, Yukihiro Haruyama and Kazuo Chijiiwa*

Department of Surgery, Miyazaki Medical Association Hospital
Department of Surgery 1, Miyazaki University School of Medicine*

A 83-year-old woman refered due to small bowel obstruction whose symptoms did not disappear after a long tube had been placed to decompress the bowel, was found in computed tomography to have an ileal loop deviating from the abdominal cavity to a right side pelvic floor hernia. Emergency laparotomy showed that the ileum had herniated into the right sciatic foramen. The herniated ileum was reduced by traction, avoiding ileal resection. The sciatic foramen defect was repaired by suturing the right mesosalpinx. The patient had an uneventful postoperative course and was discharged on postoperative day 23. Sciatic hernia is very rare, and 77 patients have been reported in the world literature. Our case is reported with a review of the literature on sciatic hernia.

Key words
sciatic hernia, ileus

Reprint requests
Naoya Imamura Department of Surgery, Miyazaki Medical Association Hospital
738-1 Funato, Shinbeppucho, Miyazaki, 880-0834 JAPAN

Accepted
June 22, 2005

To read the PDF file you will need Abobe Reader installed on your computer.