[A case of herniation through a defect in the falciform ligament at late pregnancy].
A very rare case of small bowel strangulation caused by herniation of a loop of ileum through a defect in the falciform ligament is reported. A 27-year-old woman in the 38 weeks and 5 days of pregnancy was admitted with a sudden onset of epigastralgia. Emergency laparotomy with cesarean section was performed. A strangulated loop of ileum was found to pass through a defect in the falciform ligament. The ligamentum teres was divided to release the obstruction and the irreversible strangulated loop was resected. The strangulation was considered to have occurred because a loop of small bowel compressed by gestational uterus passed through a congenital defect in the falciform ligament.
Sato
N
N
Department of Surgery, National Kokura Hospital, Fukuoka, Japan.
Miki
T
T
Toyonaga
T
T
Konomi
H
H
Ishimitsu
T
T
Nagafuchi
K
K
Matsumoto
S
S
Kawakami
K
K
D000328:Adult; D005260:Female; D006547:Hernia / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D007410:Intestinal Diseases / Q000209:etiology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery; D008022:Ligaments / Q000002:abnormalities; D011247:Pregnancy; D011248:Pregnancy Complications; D011263:Pregnancy Trimester, Third