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Related Experiment Videos

Small bowel incarceration in a broad ligament defect.

P Guillem1, C Cordonnier, F Bounoua

  • 1Department of Surgery, Armentières Hospital, 112, rue Sadi Carnot, B.P. 189, 59421 Armentières Cedex, France. guillem.philippe@wanadoo.fr

Surgical Endoscopy
|October 26, 2002
PubMed
Summary

A rare internal hernia case involving small bowel obstruction due to broad ligament defect is presented. This report details the first totally laparoscopic repair for this uncommon condition, offering a minimally invasive treatment option.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Abdominal Imaging

Background:

  • Internal hernias are uncommon, with broad ligament defects accounting for 4-7% of cases.
  • Broad ligament defects can be congenital or acquired due to trauma, pregnancy, or pelvic inflammatory disease.
  • Small bowel obstruction can result from internal hernias, necessitating prompt diagnosis and intervention.

Observation:

  • A 33-year-old woman presented with symptoms of small bowel obstruction.
  • Abdominal computed tomography (CT) revealed pelvic air-fluid levels, suggesting intestinal compromise.
  • Laparoscopic exploration identified an ileal loop incarcerated within a broad ligament defect.

Findings:

  • The incarcerated ileal loop was successfully reduced.

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  • The broad ligament defect was closed using a laparoscopic absorbable clip.
  • This case represents the first reported totally laparoscopic repair of a bowel incarceration through a broad ligament defect.

    • Implications:

    • Minimally invasive laparoscopic surgery is a viable option for treating broad ligament defects causing internal hernias.
    • Accurate CT imaging can aid in diagnosing this rare cause of bowel obstruction.
    • Understanding the etiology of broad ligament defects is crucial for surgical planning and prevention.