Sciatic hernia with incarcerated urinary bladder: Laparoscopic transabdominal extraperitoneal repair with a mesh plug

An 87-year-old man experiencing abrupt and severe lower abdominal pain was found to have a pulsatile right hip mass. An abdominal computed tomography scan demonstrated that a portion of the redundant urinary bladder was herniating through the right sciatic foramen and into the right gluteus maximus muscle. Laparoscopic transabdominal extraperitoneal repair with a synthetic mesh plug was performed. The patient recovered uneventfully, without recurrence during 3 years of follow-up. The pathogenesis, clinical manifestation, imaging studies, and treatment of sciatic hernia were reviewed.