title: Broad ligament hernia successfully treated by laparoscopy: Case report and review of literature.
abstract: We report a case of a 36-year-old woman with a history of caesarean section who presented with small bowel obstruction. Abdominal multi-detector CT showed discontinuity of the small bowel near the broad ligament on the left. 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 by the broad ligament. Multi-detector CT may be useful for diagnosing this type of defect preoperatively, whereby open surgery can be avoided.
authors.affiliation: Department of Surgery, Kameda Medical Center, Chiba, Japan.
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Matsunami
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kusanagi
authors.forename: Ken
authors.initials: K
authors.lastname: Hayashi
authors.forename: Shigetoshi
authors.initials: S
authors.lastname: Yamada
authors.forename: Nobuyasu
authors.initials: N
authors.lastname: Kano
mesh_terms: D000328:Adult; D001956:Broad Ligament / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D046449:Hernia, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D010535:Laparoscopy; D061330:Multidetector Computed Tomography
keywords: Broad ligament hernia; laparoscopy; small bowel obstruction