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Herniations through 5-mm port sites are very rare after laparoscopic surgery. Most surgeons routinely close fascial defect in 10-mm or larger port sites to prevent herniation, but not in 5-mm port sites. Because 5-mm fascial defects are not the cause of hernia formation. Here, we report a 70-year-old female, diagnosed with a hernia through 5-mm port site in the early postoperative period after laparoscopic salpingooophorectomy. She complained of abdominal pain with a palpable mass. Abdominal CT revealed an incarcerated bowel hernia. The patient underwent segmental resection of the strangulated small bowel. Fascial defects should be closed not only in 10-mm or larger port sites but also in 5-mm port sites when they are dilated.

A case of 5-mm port site hernia after laparoscopic salpingooophorectomy