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J Korean Soc Emerg Med > Volume 30(6); 2019 > Article
Journal of The Korean Society of Emergency Medicine 2019;30(6): 608-611.
Internal hernia through a defect of the broad ligament: a case report
Joong Kwon Lee , Dong Baek Kang , Joo Hyun Lee
Department of Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine, Iksan, Korea
Correspondence  Joo Hyun Lee ,Tel: 063-859-1490, Fax: 063-855-2386, Email: mist3284@hanmail.net,
Received: May 21, 2019; Revised: October 25, 2019   Accepted: October 26, 2019.  Published online: December 31, 2019.
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.
Key words: Internal hernia; Broad ligament hernia; Small bowel obstruction
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