Bowel herniation through a defect of the broad ligament

Cleator, I. G. M.; Bowden, W. M.

doi:10.1002/bjs.1800590221

Cited by 19 publications

(11 citation statements)

References 6 publications

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“…More than 80% of the primary defect in the broad ligament occurred in multiparous women, which may favor the belief of delivery trauma as a major possible etiological factor of this defect. 7 Bordenca also reported intestinal obstruction in a pregnant woman caused by herniation of the sigmoid colon into a broad ligament defect. 8 However, other causes, such as congenital anomaly and pelvic inflammatory conditions, also have to be considered.…”

Section: Discussionmentioning

confidence: 95%

“…In the past, secondary defect, usually the result of a Webster-Baldy operation as a treatment of uterine retroversion, was the cause of bowel entrapment and intestinal obstruction in more than 35% of cases. 6,7 More than 70 cases of primary defect in the broad ligament with intestinal obstruction with or without strangulation have been reported in the world literature. More than 80% of the primary defect in the broad ligament occurred in multiparous women, which may favor the belief of delivery trauma as a major possible etiological factor of this defect.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Strangulation of a Small Bowel Loop Caused by a Defect in the Broad Ligament of the Uterus

et al. 1997

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Strangulation of a Small Bowel Loop Caused by a Defect in the Broad Ligament of the Uterus

et al. 1997

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“…Of internal hernias, the paraduodenal type is the most common (30-53%) [4]. An internal hernia of the broad ligament is an extremely rare cause of small bowel obstruction [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…Internal hernias are very rare accounting for about 1% of all hernias [1]. Add to that, herniation through defects of the broad ligament of the uterus is even rarer (5% of internal hernias) [2].…”

Section: Introductionmentioning

confidence: 99%

Hernia of the broad ligament of the uterus

Tokuda¹,

Orita²,

Ito³

et al. 2016

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Intestinal obstruction is commonly seen at emergency services but is not usually caused by internal hernias (organs or intestinal tract invaginated in the abdominal cavity, purse and hiatus). Herniation through defects of the broad ligament is especially rare. In this study, we report a case that was difficult to diagnose due to a lack of useful information; a 49-year-old woman with intestinal obstruction because of hernia of the broad ligament of the uterus. Case Report: A 49-year-old female presented with intermittent abdominal pain. Laboratory findings showed only slight leukocytosis (white blood cell count 12,500/μl). Four days later, her condition had worsened. Computed tomography (CT) scan showed distended loops and fluid in the Douglas' pouch. We thought that the cause was internal hernia and decided to operate. During surgery, the hernia of the broad ligament of the uterus was discovered. We resected the fallopian tube and proper ligament of the ovary and released the hernia. The postoperative course was uneventful and the patient was discharged on the day-8. Conclusion:We treated a case of an internal broad ligament hernia which was difficult to diagnose.

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“…2 Internal hernia accounts for 0.5%-1.0% of intestinal obstruction and moreover the herniation due to a defect of the broad ligament accounted for less than 4% of internal herniations. 3 We herein describe a case with an incarceration of a small bowel herniation through a defect of the right broad ligament.…”

Section: Introductionmentioning

confidence: 99%

Incarceration of Small Bowel Herniation Through a Defect of the Broad Ligament of the Uterus: Report of a Case

Nozoe¹,

Anai²

2002

Surgery Today

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Intestinal herniation through a defect in the broad ligament of the uterus is uncommon among internal herniations. We herein report a 59-year-old woman with intestinal obstruction, who had no previous history of surgical treatment except for an appendectomy. The laparotomy revealed an incarceration of the small bowel herniation through the defect of the right broad ligament. This possibility should therefore be considered in the differential diagnosis for female patients presenting with an intestinal obstruction without any history of a prior laparotomy.

show abstract

Bowel herniation through a defect of the broad ligament

Abstract: This is the fifty‐fourth reported case of a defect in the broad ligament and the forty‐ninth associated with intestinal obstruction.

Cited by 19 publications

References 6 publications

Strangulation of a Small Bowel Loop Caused by a Defect in the Broad Ligament of the Uterus

Strangulation of a Small Bowel Loop Caused by a Defect in the Broad Ligament of the Uterus

Hernia of the broad ligament of the uterus

Incarceration of Small Bowel Herniation Through a Defect of the Broad Ligament of the Uterus: Report of a Case

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