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

Vipula Rasanga BATADUWAARACHCH

Abstract

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.