Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 16, 2025; 13(11): 98570
Published online Apr 16, 2025. doi: 10.12998/wjcc.v13.i11.98570
Parietal peritoneal hernia after abdominal hysterectomy for forty years: A case report
Ya-Chen Chou
Ya-Chen Chou, Division of General Surgery and Department of Surgery, Kaohsiung Municipal Feng Shan Hospital (Under the Management of Chang Gung Medical Foundation), Kaohsiung 830025, Taiwan
Ya-Chen Chou, Division of General Surgery and Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833401, Taiwan
Author contributions: Chou YC contributed to data collection, data analysis and drafting of the manuscript.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ya-Chen Chou, MD, Division of General Surgery and Department of Surgery, Kaohsiung Municipal Feng Shan Hospital (Under the Management of Chang Gung Medical Foundation), No. 42 Jingwu Road, Fengshan District, Kaohsiung 830025, Taiwan. bameow@cgmh.org.tw
Received: June 30, 2024
Revised: October 28, 2024
Accepted: December 6, 2024
Published online: April 16, 2025
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Core Tip

Core Tip: We report a unique case of an abdominal wall internal hernia, a late complication that is highly suspected to be related to insufficient peritoneal closure. In the context of the current dominant practice of not closing the peritoneum, our case highlights a potential challenge in lower abdominal surgeries, particularly those involving organ resection or transabdominal preperitoneal inguinal herniorrhaphy. It emphasizes the need for heightened awareness among clinicians regarding long-term surgical outcomes, and advocates for meticulous peritoneal closure to prevent this potentially lethal issue, despite the limited existing evidence.