Laparoscopic treatment of incarcerated hernia through right broad ligament in patients with bilateral parametrium defects.
We present the first case reported in the literature of small bowel obstruction due to internal incarcerated hernia through a diagnosed bilateral broad ligament defect, and treated by laparoscopy. A 36-year-old white woman, gravida 0, para 0, was admitted to our hospital with intestinal obstruction symptoms. A laparoscopic approach was performed with 3 trocars and internal incarcerated hernia due to a defect in the right broad ligament was found. There was a similar defect in the left broad ligament. The small bowel, once reduced, appeared viable. Closure of both defects was carried out by laparoscopy with 2-0 monofilament absorbable running suture. The patient's postoperative course was unremarkable and she was discharged from the hospital 4 days after the surgical procedure. The classification of defect was a bilateral fenestrae type I defect. Congenital ethiology is plausible because of the presence of bilateral defects and the absence of surgical trauma, pregnancy, pelvic inflammatory disease, endometriosis in the clinical history.
Santa Maria Nuova Hospital, Department of General Surgery, Firenze, Italy.
V
V
Leone
D
D
Misuri
U
U
Faggi
A
A
Giovane
C
C
Fazio
S
S
Cardini
D000328:Adult; D001956:Broad Ligament / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006547:Hernia / Q000150:complications; D059685:Herniorrhaphy; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D010535:Laparoscopy; D011860:Radiography, Abdominal; D013997:Time Factors; D016896:Treatment Outcome