Rare Contents of an Internal Hernia through a Defect of the Broad Ligament of the Uterus
Herniation through a defect of the uterine broad ligament is a rare internal hernia that is difficult to diagnose definitively. Common hernia contents contain ileal loops. Herein, we report a rare case of internal herniation of both the ileum and fallopian tube through a defect of the broad ligament...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2021/5535162 |
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| _version_ | 1849407500358516736 |
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| author | Masafumi Takahashi Masanori Yoshimitsu Takuya Yano Hitoshi Idani Shigehiro Shiozaki Masazumi Okajima |
| author_facet | Masafumi Takahashi Masanori Yoshimitsu Takuya Yano Hitoshi Idani Shigehiro Shiozaki Masazumi Okajima |
| author_sort | Masafumi Takahashi |
| collection | DOAJ |
| description | Herniation through a defect of the uterine broad ligament is a rare internal hernia that is difficult to diagnose definitively. Common hernia contents contain ileal loops. Herein, we report a rare case of internal herniation of both the ileum and fallopian tube through a defect of the broad ligament. A 52-year-old woman presented to our hospital with suprapubic pain and vomiting. She had a history of bowel obstruction following cesarean section. On abdominopelvic computed tomography, we suspected a closed-loop obstruction associated with bowel herniation in the right broad ligament. However, we could not identify an area of poor enhancement adjacent to distended small intestines. Emergency laparoscopic exploration revealed a viable ileal loop and incarcerated organ. Therefore, we switched to laparotomy that revealed the right fallopian tube as the ischemic organ. We reduced the hernia, resected necrotic right fallopian tube, and closed the defect of the broad ligament. The patient had an uneventful postoperative course. Rare hernia contents might complicate preoperative clinical diagnosis. Laparoscopy is useful for establishing a definitive diagnosis and treating broad ligament hernias. |
| format | Article |
| id | doaj-art-43ad5a9caaea41ed8ec55e70463bc7b3 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-43ad5a9caaea41ed8ec55e70463bc7b32025-08-20T03:36:02ZengWileyCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/55351625535162Rare Contents of an Internal Hernia through a Defect of the Broad Ligament of the UterusMasafumi Takahashi0Masanori Yoshimitsu1Takuya Yano2Hitoshi Idani3Shigehiro Shiozaki4Masazumi Okajima5Department of Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima City, Hiroshima, 730-8518, JapanDepartment of Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima City, Hiroshima, 730-8518, JapanDepartment of Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima City, Hiroshima, 730-8518, JapanDepartment of Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima City, Hiroshima, 730-8518, JapanDepartment of Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima City, Hiroshima, 730-8518, JapanDepartment of Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima City, Hiroshima, 730-8518, JapanHerniation through a defect of the uterine broad ligament is a rare internal hernia that is difficult to diagnose definitively. Common hernia contents contain ileal loops. Herein, we report a rare case of internal herniation of both the ileum and fallopian tube through a defect of the broad ligament. A 52-year-old woman presented to our hospital with suprapubic pain and vomiting. She had a history of bowel obstruction following cesarean section. On abdominopelvic computed tomography, we suspected a closed-loop obstruction associated with bowel herniation in the right broad ligament. However, we could not identify an area of poor enhancement adjacent to distended small intestines. Emergency laparoscopic exploration revealed a viable ileal loop and incarcerated organ. Therefore, we switched to laparotomy that revealed the right fallopian tube as the ischemic organ. We reduced the hernia, resected necrotic right fallopian tube, and closed the defect of the broad ligament. The patient had an uneventful postoperative course. Rare hernia contents might complicate preoperative clinical diagnosis. Laparoscopy is useful for establishing a definitive diagnosis and treating broad ligament hernias.http://dx.doi.org/10.1155/2021/5535162 |
| spellingShingle | Masafumi Takahashi Masanori Yoshimitsu Takuya Yano Hitoshi Idani Shigehiro Shiozaki Masazumi Okajima Rare Contents of an Internal Hernia through a Defect of the Broad Ligament of the Uterus Case Reports in Surgery |
| title | Rare Contents of an Internal Hernia through a Defect of the Broad Ligament of the Uterus |
| title_full | Rare Contents of an Internal Hernia through a Defect of the Broad Ligament of the Uterus |
| title_fullStr | Rare Contents of an Internal Hernia through a Defect of the Broad Ligament of the Uterus |
| title_full_unstemmed | Rare Contents of an Internal Hernia through a Defect of the Broad Ligament of the Uterus |
| title_short | Rare Contents of an Internal Hernia through a Defect of the Broad Ligament of the Uterus |
| title_sort | rare contents of an internal hernia through a defect of the broad ligament of the uterus |
| url | http://dx.doi.org/10.1155/2021/5535162 |
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