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Trocar site hernia is a potentially serious sequela of laparoscopic procedures that may lead to bowel incarceration and strangulation. We report a case of trocar site hernia secondary to robot‐assisted radical prostatectomy.    Case presentation  A 71‐year‐old Japanese man underwent robot‐assisted radical prostatectomy without any intraoperative events; however, a brief dislodgement of a 12‐mm AIRSEAL ®  trocar occurred. Forty‐eight hours after the procedure, the patient exhibited coffee ground vomitus. Computed tomography revealed an intestinal prolapse at the 12‐mm AIRSEAL ®  trocar site. He was diagnosed with a strangulated bowel due to trocar site hernia. Following an emergency exploration, 25 cm of gangrenous intestine was resected, and a functional end‐to‐end anastomosis was performed.    Conclusion  In this case, brief dislodgement of the AIRSEAL ®  trocar may have caused severe subcutaneous emphysema and intestinal sucking. In such situations, certain closure of both, the peritoneum and the fascia, is necessary.

Trocar site hernia resulting in intestinal necrosis 48 hours after robot‐assisted radical prostatectomy