Internal herniation through a defect in the broad ligament of the uterus

Hsin Fen Lu, Daw Yuan Chang, Mei Jou Chen, Shee Uan Chen, Horng Nerng Ho, Yu Shih Yang

研究成果: 雜誌貢獻文章同行評審

摘要

Objective: Intestinal obstruction caused by internal herniation of the bowel at a tear in the uterine broad ligament is extremely rare. Accurate preoperative diagnosis is very difficult. Here, we present a case with internal herniation through a defect in the broad ligament of the uterus. Case Report: A 41-year-old female complained of colicky pain over the lower abdomen, nausea, and vomiting for 2 days. No significant history except cesarean section was given. Transvaginal ultrasound revealed a cystic structure with peristalsis located at the broad ligament of the uterus. Highly suspicious of bowel obstruction, we performed an emergency laparoscopy and discovered intestinal herniation at a broad ligament tear. The herniated bowel loop was reduced and the tear was sutured primarily. The reduced bowel loop was viable with no evidence of gangrene or perforation. The patient recovered uneventfully. Conclusion: Good prognosis relies on early surgical correction before bowel gangrene or perforation of the strangulated bowel, especially in patients with previous gynecologic or obstetric surgery. Transvaginal ultrasound by an experienced operator may be helpful for this diagnosis.
原文英語
頁(從 - 到)273-275
頁數3
期刊Taiwanese Journal of Obstetrics and Gynecology
44
發行號3
DOIs
出版狀態已發佈 - 1月 1 2005
對外發佈

ASJC Scopus subject areas

  • 婦產科

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