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KMID : 0385920190300060608
Journal of the Korean Society of Emergency Medicine
2019 Volume.30 No. 6 p.608 ~ p.611
Internal hernia through a defect of the broad ligament: a case report
Lee Joong-Kwon

Kang Dong-Baek
Lee Joo-Hyun
Abstract
A small bowel obstruction due to an internal hernia through a defect of the broad ligament (called a broad ligament hernia) is rare and accounts for 4-7% of all internal hernias. A 42-year-old woman visited the emergency department of Wonkwang University Hospital with epigastric pain that had lasted for one day. Computed tomography (CT) revealed a closed loop of the small bowel with multiple beak signs at the lower pelvic area, near the uterus and left adnexa. The surgical findings revealed a dilatated small bowel and hernia through a 2¡¿2-cm-sized defect of the left broad ligament. This paper reports a rare case of a broad ligament hernia that was treated successfully via the laparoscopic approach and discusses the characteristics of this disease with reference to the literature.
KEYWORD
Internal hernia, Broad ligament hernia, Small bowel obstruction
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