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Internal hernia through the broad ligament presenting with acute on chronic intestinal obstruction: A case report
A O Oladele1, A A Oni, F A Agbakwuru
1Department of Surgery, Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria.
Background:
Internal hernias are rare. Their occurrence through the broad ligament is one of the rarest forms. We present a report of a 45 year Nigerian female with acute on chronic intestinal obstruction due to an internal hernia of the broad ligament.
Methods:
Patients case notes and a review of relevant literature using manual library and Medline search was used.
Results:
A 45-year-old multiparous woman presented with a ten-year history of features of partial intestinal obstruction, and no previous abdominal surgery. Examination revealed right iliac fossa tenderness and a plain abdominal radiograph showed air fluid levels. Conservative management was not successful and laparatomy confirmed an internal hernia of the right broad ligament which was repaired with satisfactory outcome.
Conclusion:
This report is to highlight the fact that though rare, internal hernia should be considered in the differential diagnosis of intestinal obstruction.
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