Annals of Coloproctology

Display

Sort by :

Case Reports

Benign bowel disease

Strangulated internal hernia through a defect of the broad ligament: a case report of laparoscopic surgery: Ji Hyeong Song, Jin Soo Kim; Ann Coloproctol. 2024;40(Suppl 1):S44-S47. Published online April 27, 2023; DOI: https://doi.org/10.3393/ac.2022.00906.0129

3,884 View
139 Download
3 Web of Science
2 Citations

An internal hernia is defined as the protrusion of an internal organ through a defect in the abdominal cavity. Broad ligament hernia (BLH) is an extremely rare type of internal hernia that is difficult to diagnose preoperatively because the symptoms are nonspecific. However, early diagnosis is crucial, and early surgery is required to reduce complications such as strangulation. Laparoscopy has the advantage of enabling simultaneous diagnosis and treatment of BLH. With the advancement of the laparoscopic techniques, several cases of laparoscopic treatment of BLH have been reported. Nevertheless, open surgery is primarily performed in patients requiring bowel resection. We present a case of laparoscopic surgery for a strangulated internal hernia through a broad ligament defect. We successfully resected the strangulated small intestine and closed the defect of the broad ligament laparoscopically with a minor incision.

Citations

Citations to this article as recorded by

Broad ligament defect causing internal hernia: A case report and literature review
Jie He, Yan Wen, Banzhu Zhang, Jun Zhou, Yuan Lin
Medicine.2025; 104(43): e45264. CrossRef
Inflamed Appendix Protruding Through a Right Broad Ligament Defect: A Case Report
Elissavet Symeonidou, Ioannis Gkoutziotis, Maria S SidiropouIou, Chrysoula Gouta , Kalliopi Gianna , Konstantinos Mpallas
Cureus.2024;[Epub] CrossRef

Internal Hernia in Adult Patients: Transmesenteric Hernia and Internal Hernia through a Defect of the Broad Ligament.: Lee, Sang Myong , Lee, In Kyu , Lee, Yoon Suk , Kang, Won Kyung , Ahn, Chang Hyeok , Lee, Do Sang , Jung, Seung Eun , Chang, Suk Kyun; J Korean Soc Coloproctol. 2006;22(6):428-431.

1,355 View
22 Download

Abstract PDF: An internal hernia is a rare disease that causes bowel obstruction. It is difficult to diagnose because the symptoms and the signs are the same as those for other obstructive diseases of the bowel. Early diagnosis and management are essential, and early surgical management may reduce complications such as ischemia, and strangulation. We experienced two cases of internal hernias. One patient underwent a laparotomy, and had a transmesenteric defect with a herniated and strangulated small bowel segment. The other patient underwent a laparoscopic surgery, and we found that the left broad ligament had a focal defect with a herniated small bowel segment. An internal hernia is an uncommon disease, and its differentiation from other obstructive diseases of the bowel is difficult. However, the clinician should consider that the internal hernia might be the cause of the bowel obstruction, especially in patient with no previous history of intra- abdominal surgery. Early diagnosis can improve the clinical outcome through early surgery.

First
Prev
Page of 1
Next
Last

Search