Early Postoperative Surprise: Bowel Obstruction from Trocar Site Hernia on Day 3

Trocar site hernia is a rare but potentially serious complication following laparoscopic surgery. We report the case of a 76-year-old female with a medical history of ischemic stroke (2023) with full recovery and atrial fibrillation under anticoagulant therapy for two years. She underwent a bilateral adnexectomy via laparoscopy for an ovarian mass. On postoperative day 3 (J03), she developed acute bowel obstruction due to a supraumbilical trocar site hernia. This case highlights the importance of early recognition and management of trocar site hernias to prevent life-threatening complications.