Gönüllü, Mehmet EminYekenkurul, ErmanGüneri, GürkanÇorbacı, KadirÜnal, Mücahit2026-07-012026-07-0120263108-4915https://hdl.handle.net/20.500.12684/22666Incisional hernia is one of the most common long-term complications following abdominal surgery. Although it is typically associated with laparotomy incisions, hernia formation may rarely occur at previous drain insertion sites. We report the case of an 85-year-old woman who had undergone emergency surgery for an incarcerated umbilical hernia seven months earlier, during which a surgical drain was placed. She presented to the emergency department with abdominal pain, nausea, and vomiting. Imaging studies demonstrated an incarcerated small bowel loop at the former drain site. Emergency laparotomy was performed. Approximately 3500 mL of ascitic fluid was evacuated, the hernia sac was excised, and the fascial defect was repaired using primary suturing with Prolene®. No ischemic bowel was identified. The postoperative course was uneventful, and the patient was discharged on postoperative day 10. Incisional hernia may rarely develop at previous drain insertion sites, particularly in patients with predisposing factors such as cirrhosis and ascites. Early surgical intervention is essential to prevent severe complications. In cirrhotic patients, primary repair may represent a safer alternative to mesh hernioplasty due to the increased risk of mesh-related complications.eninfo:eu-repo/semantics/openAccessDrain ComplicationIncarcerationIncisional HerniaArticle2143461877384