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2015 | 86 | 8 | 377-379
Tytuł artykułu

Laparoscopically Treated Small Bowel Obstruction Due to Internal Herniation Through the Broad Ligament

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The authors reported a case of small bowel obstruction secondary to internal herniation through a defect of the broad ligament. This is a rare cause of small bowel obstruction. A 42 year-old woman without previous abdominal surgery presented with episodes of abdominal pain, nausea and vomiting. Due to rather unspecific and changing symptoms and the fact that objective findings were normal the patient was discharged and admitted a couple of times before a computed tomography-scan showed small bowel obstruction. Acute diagnostic laparoscopy showed internal herniation of a loop of small bowel trapped in a 2 cm defect in the right side of the broad ligament. The defect was gently expanded bluntly and it was then possible to retract the strangulated part of the small bowel which afterwards was vital. The defect was sutured laparoscopically. The postoperative recovery was uneventful. This case demonstrates that a preoperative diagnosis is difficult and a high index of suspicion is necessary to prevent diagnostic delay. Internal herniation through a defect in the broad ligament should be considered as a differential diagnosis in female patients presenting with symptoms of small bowel obstruction without a history of prior abdominal surgery, especially in parous women.
Wydawca

Rocznik
Tom
86
Numer
8
Strony
377-379
Opis fizyczny
Daty
wydano
2014-08-01
otrzymano
2013-07-11
online
2014-10-03
Twórcy
  • Gastro Unit, Surgical Department, Copenhagen University Hospital, Hvidovre Hospital, cvy@dadlnet.dk
  • Gastro Unit, Surgical Department, Copenhagen University Hospital, Hvidovre Hospital
Bibliografia
  • 1. Leone V, Misuri D, Faggi U et al.: Laparoscopic treatment of incarcerated hernia through right broad ligament in patients with bilateral parametrium defects. G Chir 2009; 30(4): 141-43.[PubMed]
  • 2. Nozoe T, Anai H: Incarceration of small bowel herniation through a defect of the broad ligament of the uterus: report of a case. Surg Today 2002; 32(9): 834-35.[PubMed][Crossref]
  • 3. Langan RC , Holzman K, Coblentz M: Strangulated hernia through a defect in the broad ligament: a sheep in wolf’s clothing. Hernia 2012; 16(4): 481-83.[WoS][Crossref]
  • 4. Kosaka N, Uematsu H, Kimura H et al.: Utility of multi-detector CT for pre-operative diagnosis of internal hernia through a defect in the broad ligament. Eur Radiol 2007; 17(4): 1130-33.[Crossref][WoS][PubMed]
  • 5. Varela GG, López-Loredo A, García León JF: Broad ligament hernia-associated bowel obstruction. JSLS 2007; 11(1): 127-30.[PubMed]
  • 6. Demir H, Scoccia B: Internal herniation of adnexa through a defect of the broad ligament: case report and literature review. J Minim Invasive Gynecol 2010; 17(1): 110-12.[WoS]
  • 7. Bangari R, Uchil D: Laparoscopic management of internal hernia of small intestine through a broad ligament defect. J Minim Invasive Gynecol 2012; 19(1): 122-24.
  • 8. Agresta F, Michelet I, Candiotto E, Bedin N: Incarcerated internal hernia of the small intestine through a breach of the broad ligament: two cases and a literature review. JSLS 2007; 11(2): 255-57.[PubMed]
  • 9. Garcia-Oria M, Inglada J, Domingo J et al.: Small bowel obstruction due to broad ligament hernia successfully treated by laparoscopy. J Laparoendosc Adv Surg Tech A 2007; 17(5): 666-68.[WoS]
  • 10. Takayama S, Hirokawa T, Sakamoto M et al.: Laparoscopic management of small bowel incarceration caused by a broad ligament defect: report of a case. Surg Today 2007; 37(5): 437-39.[Crossref][PubMed][WoS]
  • 11. Guillem P, Cordonnier C, Bounoua F et al.: Small bowel incarceration in a broad ligament defect. Surg Endosc 2003; 17(1): 161-62.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2014-0068
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