title: Bowel Obstruction and Peritoneal Dialysis: A Case Report of a Patient with Complications from a Broad Ligament Hernia.
abstract: Abdominal hernias are a common cause of bowel obstruction. The major types of abdominal hernias are external or abdominal wall hernias, which occur at areas of congenital or acquired weakness in the abdominal wall. An alternative entity is internal hernias, which are characterized by a protrusion of viscera through the peritoneum or mesentery. We herein present the case of a female peritoneal dialysis patient with bowel obstruction due to an internal hernia. Although an initial work-up did not lead to a correct diagnosis, an exploratory laparotomy revealed that she had intestinal herniation due to a defect in the broad ligament of the uterus, which was promptly corrected by surgery. The concerns about the perioperative dialytic management as well as the diagnostic problems regarding the disease that arose in our experience with the present patient are also discussed.
authors.affiliation: Division of Nephrology, Department of Internal Medicine.
authors.forename: Naoko
authors.initials: N
authors.lastname: Otani-Takei
authors.affiliation: Division of Nephrology, Department of Internal Medicine.
authors.forename: Tetsu
authors.initials: T
authors.lastname: Akimoto
authors.affiliation: Department of Surgery, Jichi Medical University, Yakushiji, Shimotsuke-Shi, Tochigi, Japan.
authors.forename: Ai
authors.initials: A
authors.lastname: Sadatomo
authors.affiliation: Division of Nephrology, Department of Internal Medicine.
authors.forename: Osamu
authors.initials: O
authors.lastname: Saito
authors.affiliation: Division of Nephrology, Department of Internal Medicine.
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Muto
authors.affiliation: Division of Nephrology, Department of Internal Medicine.
authors.forename: Eiji
authors.initials: E
authors.lastname: Kusano
authors.affiliation: Division of Nephrology, Department of Internal Medicine.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Nagata
keywords: broad ligament of the uterus; ileus; internal hernia; intestinal incarceration; peritoneal dialysis