Bilateral indirect inguinal hernia with bilateral corona mortis: A case study from a laparoscopic perspective

摘要

The “corona mortis” or crown of death is defined as the vascular connection between the obturator and external iliac systems crossing the superior pubic ramus. It has a great clinical significance as it could be accidentally cut during any surgery in that area causing fatal hemorrhage. We present a rare variant of bilateral arterial and venous corona mortis in a male cadaver with bilateral indirect inguinal hernia. Laparoscopic repair is indicated in bilateral case and there is a greater risk of damaging corona mortis during pre-peritoneal dissection. Surgeons must deliberately look for the above vascular variant in every case for its presence to avoid unnecessary risk to the patient.