title: Laparoscopic management of small bowel incarceration caused by a broad ligament defect: report of a case.
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.
authors.affiliation: Department of Gastroenterological Surgery, Nagoya City University, 1 Kawasumi, Nagoya 467-8601, Japan.
authors.forename: Satoru
authors.initials: S
authors.lastname: Takayama
authors.forename: Takahisa
authors.initials: T
authors.lastname: Hirokawa
authors.forename: Masaki
authors.initials: M
authors.lastname: Sakamoto
authors.forename: Hiroki
authors.initials: H
authors.lastname: Takahashi
authors.forename: Minoru
authors.initials: M
authors.lastname: Yamamoto
authors.forename: Mikinori
authors.initials: M
authors.lastname: Sato
authors.forename: Tadao
authors.initials: T
authors.lastname: Manabe
mesh_terms: D000369:Aged, 80 and over; D001956:Broad Ligament / Q000002:abnormalities*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D010535:Laparoscopy; D014057:Tomography, X-Ray Computed