A Case of Haital Hernia of the Broad Ligament of the Uterus

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  • Torikai Hiroko
    Division of Digestive Surgery, Department of Surgery, Nihon University School of Medicine
  • Mazaki Takero
    Division of Digestive Surgery, Department of Surgery, Nihon University School of Medicine
  • Tamegai Hidenori
    Division of Digestive Surgery, Department of Surgery, Nihon University School of Medicine
  • Okame Hirohisa
    Division of Digestive Surgery, Department of Surgery, Nihon University School of Medicine
  • Masuda Hideki
    Division of Digestive Surgery, Department of Surgery, Nihon University School of Medicine
  • Takayama Tadatoshi
    Division of Digestive Surgery, Department of Surgery, Nihon University School of Medicine

Bibliographic Information

Other Title
  • 子宮広間膜裂孔ヘルニアの一例
  • 症例報告 子宮広間膜裂孔ヘルニアの一例
  • ショウレイ ホウコク シキュウ コウカン マク レツコウ ヘルニア ノ 1レイ
  • A Case of Hiatal Hernia of the Broad Ligament of the Uterus

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Abstract

We report a rare case of hiatal hernia of the broad ligament of the uterus, of which only 79 cases have been reported in Japan. A 40-year-old woman with no medical history was admitted to our department for abdominal pain and vomiting. Abdominal CT scan revealed a dilated small intestine and ascites in the pelvis. She was admitted under the diagnosis of ileus. Her condition was not improved after one day of conservative therapy. Further examination showed complete stenosis of the intestine. Emergency operation was performed. Operative findings revaled an abnormal defect, 3 cm in size, in the right broad ligament of uterus, and that an ∼90 cm length of the ileum had impacted into the defect. Ischemic change was recognized. After 100 cm of the small bowl was resected, the defect was simply closed. The postoperative course was uneventful. The patient was dischaged on the 10th postoperative day, and has since remained asymptomatic.

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