An 81-year-old woman was seen at our hospital because of abdominal pain. On palpation, there was an elastic, hard and fixed mass with tenderness in the right lower abdominal region. An operated scar of previous appendectomy performed 62-years-ago was seen on the skin of medial edge of the mass. Abdominal CT scan revealed a defect of abdominal wall in the same region, and the prolapse of the intestine and adipose tissue from there. Form these findings, incarceration of the incisional hernia was diagnosed. Emergent operation was performed after a trial of repair with manual manipulation. The components of hernia were Meckel's diverticulum and greater omentum adhered to the hernia sac.
Meckel's diverticulum was removed with wedge resection using a linear stapler, and the incisional hernia was repaired with the use of PROLENE^® Hernia System (PHS) simultaneously.