Internal herniation of bowel through the mesodiverticular band in adults - rare presentation - managed by laparoscopy: report of a case.

Meckel’s diverticulam is the most common congenital anomaly of gastrointestinal tract. Reporting a case of small bowel obstruction due to internal herniation though the mesodiverticular band, which is a very rare presentation in adults- managed by laparoscopic division of mesodiverticular band. A 35 year old patient, presented to the emergency department with intestinal obstruction. Investigations are suggestive of small bowel obstruction. Diagnostic laparoscopy was done. A meckel’s diverticulum with herniation of small bowel through the mesodiverticular band is found. The mesodiverticular band is divided. As the meckel’s diverticulam was wide mouthed directiculectomy was not done. It can be managed safely by laparoscopy and with less incidence of complications. Morbidity is minimal and rapid return of intestinal function can be achieved.

Internal Herniation Through a Defect in the Broad Ligament: A case report

Intestinal obstruction as a result of internal herniation of the bowel through a defect of the broad ligament is a rare condition. Internal herniation may occur between the layers or in an opening through both layers. Most defects in the broad ligament occur unilaterally. Symptoms and signs are those of intestinal obstruction. Preoperative diagnosis is very unusual. The herniated bowel is the ileum in almost all cases, and strangulation of the herniated bowel is usual. We experienced a case of internal herniation of the ileum through a defect of the broad ligament, which was 1.5 cm 1.5 cm round defect through the entire layers of the right broad ligament beside the uterus. The herniated ileum was strangulated at operation, so we did a resection and anastomosis of that segment and a simple closure of the defect. The patient was discharged and took follow-up checks uneventfully.