A Case of Internal Hernia Through a Defect of the Broad Ligament of the Uterus,Diagnosed with Computed Tomography (CT)

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  • CT診断が有用であった子宮広間膜裂孔ヘルニアの1例

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Abstract

A 36-year-old woman with no previous surgery was admitted to our hospital with abdominal pain. We diagnosed a broad ligament hernia with computed tomography (CT), and performed an emergency operation on the same day. During surgery, a fissure in the right broad ligament of the uterus about 2cm in diameter was disclosed and a part of the distal ileum about 30cm long and located 60cm proximal to the ileocecal valve was incarcerated through this defect. The intestinal constriction was reduced and the defect of the broad ligament was sutured. The patient had an uneventful postoperative course and was discharged from our hospital on the 10th postoperative day. Internal hernia through a defect of the broad ligament of the uterus is very rare and presents difficulty in preoperative diagnosis. We report on our experience of a hernia through broad ligament defect that was diagnosed with CT and successfully treated, together with a review of the relevant literature.

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