A 77-year old woman was admitted to our hospital with a chief complaint of an uncomfortable feeling in the lower abdomen of one month's duration. Computed tomography demonstrated small intestine herniated into the right greater sciatic foramen. Elective laparoscopic surgery was performed because her abdominal symptom was thought to be caused by the sciatic hernia. During surgery, the sciatic foramen defect was identified, and the defect in the foramen was repaired with a mesh plug and patch.

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... atic hernias are very rare, and laparoscopic repair for sciatic hernias has not often been reported in Japan. This case is presented and discussed in the context of a review of the literature on sciatic hernia.