Annals of Coloproctology

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

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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.

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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

A Case of Small Bowel Obstruction Due to a Paracecal Hernia: Eun-Jung Jang, Seung Hyun Cho, Dae-Dong Kim; J Korean Soc Coloproctol. 2011;27(1):41-43. Published online February 28, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.1.41

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Internal hernias are rare causes of small bowel obstruction, and one such internal hernia is the paracecal hernia. We report a case of a small bowel obstruction related to a paracecal hernia in which a preoperative diagnosis was made on computed tomography. A laparotomy was performed for definitive diagnosis and treatment. The surgery achieved a good outcome.

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Citations to this article as recorded by

Surgical Management of Pericaecal Hernia in a Virgin Abdomen
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Internal Hernia Through a Congenital Defect in Broad Ligament: A Rare and Elusive Cause of Intestinal Obstruction
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Ruptured Ovarian Cyst Masking Diagnosis of Hernia Through Broad Ligament of Uterus: A Case Report
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Heterogeneity of internal hernia post anterior resection: a missed diagnosis
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Post-trauma transmesocolic hernia: a case report
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Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter
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A case report of lateral paracecal hernia
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Internal Herniation Due to Appendix Vermiformis Rotation: A Rare Case of an Acute Abdomen
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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.

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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.

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