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

ABSTRACT

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.