Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 3 1 2018 07 24 18 20 EN Zahra Tavoli Department of Obstetrics and Gynecology, School of Medicine AND Ziaeian Hospital, Tehran University of Medical Sciences, Tehran, Iran. Fatemeh Tabatabaei Department of Obstetrics and Gynecology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. 2018 02 01 2018 05 20 Incisional hernia is defined as dehiscence of fascia and bowel obstruction. The clinical manifestation includes gross disruption of the wound with drainage, presence of a bulging with exertion or Valsalva maneuver, painful continuous bulge if bowel or omentum is incarcerated, and bowel obstruction or infarction. We report a 63-year-old woman with the history of three times cesarean section with a midline incision. She was operated for ovarian tumor. Total laparoscopic hysterectomy and lymphadenectomy was performed. She attended to hospital 5 days after surgery with the chief complaint of abdominal pain, nausea, and vomiting. There was a bulge tender around the umbilical port and patient’s creatinine was 4 mg/dl in laboratory test. The ultrasound confirmed a port site hernia. A strangulated hernia was diagnosed and treated with laparotomy. https://crcp.tums.ac.ir/index.php/crcp/article/view/178 https://crcp.tums.ac.ir/index.php/crcp/article/download/178/101