Laparoscopic management of small bowel incarceration caused by a broad ligament defect: report of a case

Surg Today. 2007;37(5):437-9. doi: 10.1007/s00595-006-3397-0. Epub 2007 Apr 30.

Abstract

We report the case of a 94-year-old woman who presented with signs of a small bowel obstruction many years after an appendectomy. Abdominal computed tomography (CT) scan showed discontinuity of the small bowel at a point next to the uterus. We made a provisional diagnosis of an internal hernia through a defect in the broad ligament and performed laparoscopic exploration, which revealed a viable ileal loop incarcerated through the broad ligament. Thus, CT scan may be useful for diagnosing this type of defect preoperatively, whereby open surgery can be avoided.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Broad Ligament / abnormalities*
  • Female
  • Humans
  • Intestinal Obstruction / diagnostic imaging
  • Intestinal Obstruction / etiology*
  • Intestinal Obstruction / surgery*
  • Laparoscopy*
  • Tomography, X-Ray Computed