Laparoscopic Management of Strangulated Broad Ligament Hernia

Abstract

Introduction: Broad ligament hernia was first reported post-autopsy by Quain in 1861. In a 1995 review article, only 61 cases had ever been reported. This paper presents a case report of broad ligament hernia and explores the literature surrounding this topic. Case Presentation: The patient presented with no significant past medical history, acute lower abdominal pain (several hours), nausea, and vomiting. Clinical examination showed a heart rate of 85 beats per minute; normal temperature, blood pressure, and respiratory rate; and a mildly distended abdomen with tenderness across the right lower quadrant. A plain abdominal X-ray showed dilated small bowel loops, and a blood test showed leukocytosis. Urgent diagnostic laparoscopy showed a broad ligament strangulated hernia with small bowel infarction. Reduction of the small bowel, resection, and side-side anastomosis were performed. The patient had an uneventful recovery, and follow up reported no postoperative complications. Conclusion: Laparoscopic management of small bowel obstruction due to broad ligament internal hernia is a safe and effective option.

Strangulated internal hernia through a defect of the broad ligament: a case report of laparoscopic surgery

“…Most cases treated with laparoscopy were incarcerated BLH without strangulation; however, in cases requiring bowel resection, open surgery was mainly performed [7–10]. To our knowledge, only 1 case of laparoscopic surgery for strangulated BLH has been reported [ 11 ]. In the present case, the decision to perform laparoscopic surgery was based on a number of factors, including the patient’s clinical presentation and imaging findings, as well as the surgeon’s experience and expertise in laparoscopic procedures.…”

Quain hernia - A rare cause of acute small bowel obstruction. A case report and an updated literature review

“…This paper offers an updated and comprehensive literature review of the additional 17 cases of Quain herniae published in English literature since the previous review in 2012 as well as comparison with our own case outlined above, describing all significant aspects of investigation and management of these rare herniae [5] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] ( Table 1 ).…”

Treatment of internal hernia through broad ligament by division of round ligament of uterus: a case report

“…Treatment of broad ligament hernias involves reduction of the contents and prevention of recurrence 6 . Previous case reports have suggested repair of the defect or ligation of the round ligament as viable options 2 .…”

“…Treatment of broad ligament hernias involves reduction of the contents and prevention of recurrence. 6 Previous case reports have suggested repair of the defect or ligation of the round ligament as viable options. 2 An internal hernia through the broad ligament should be considered in female patients without previous intraabdominal operations and transition points in the pelvis.…”