Radiologic imaging of herniation of the small bowel through a defect in the broad ligament

Suzuki, Masayuki; Takashima, Tsutomu; Funaki, Hiromi; Uogishi, Makoto; Isobe, Tsugumasa; Kanno, Seiichi; Kuwahara, Masaki; Ushitani, Kenji; Fuchuh, Kousei

doi:10.1007/bf02035043

Cited by 64 publications

(13 citation statements)

References 12 publications

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“…Herniation through the broad liga ment of the uterus is rare with 56 reported cases in the literature [2], Preoperative detection of a defect of the broad ligament is difficult, and the diagnosis was con firmed at laparotomy in all but 1 case [3]. We report here a case of internal herniation through a defect of the left broad ligament which was diagnosed prior to lapa rotomy.…”

Section: Introductionmentioning

confidence: 85%

Strangulated Herniation through a Defect of the Broad Ligament of the Uterus

Ishiguro

Terahara

Kigawa

et al. 1993

Gynecol Obstet Invest

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Among internal hernias, those through the foramen of Winslow are most commonly observed. The least frequently occurring is that through the broad ligament of the uterus. The present case presented with bowel strangulating obstruction due to a defect of the left broad ligament which could be diagnosed prior to laparotomy. The patient had no significant past history, and had symptoms of colicky pain, nausea, and vomiting. Emergency laparotomy was performed. Gangrenous ileum was resected, and a defect of the broad ligament was observed bilaterally. Past history in this case supported congenital defect of the broad ligament.

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Section: Introductionmentioning

confidence: 85%

Strangulated Herniation through a Defect of the Broad Ligament of the Uterus

Ishiguro

Terahara

Kigawa

et al. 1993

Gynecol Obstet Invest

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“…Symptom included (i) distended loops with air-fluid level in the Douglas' pouch, (ii) distended loops pushing against uterus, rectum and sigmoid colon, and (iii) convergence of the mesentery and blood vessels for the uterus [8]. In our case, the patient had no history of surgery.…”

Section: Discussionmentioning

confidence: 70%

“…We could see the convergence of the mesentery and blood vessels on the uterus. It is said that the certain features of the CT scan are very useful for the diagnosis [8]. However, the CT scan which had been performed on admission did not have the features.…”

Section: Discussionmentioning

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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“…However, recent reports indicate that a correct preoperative diagnosis can be made by CT scan. [9][10][11] The lack of symptoms and signs of the condition during the initial presentation may subsequently lead to a delayed diagnosis, which could play a role in the progression of the disease, resulting in a higher rate of morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%