J Minim Invasive Surg.  2018 Sep;21(3):130-132. 10.7602/jmis.2018.21.3.130.

Internal Hernia through a Defect in the Broad Ligament of Uterus: Laparoscopic Management Using a Self-Anchoring Barbed Suture

Affiliations
  • 1Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea. soohongnara@hanmail.net

Abstract

The occurrence of internal hernia through a defect in the broad ligament is a very rare condition, which may cause small bowel obstruction. This is a case of a 50-year-old woman who developed intestinal obstruction induced by internal hernia and who had undergone laparoscopic myomectomy 7 years prior to visiting our emergency room. Abdominopelvic computed tomography showed luminal narrowing of the ileum and dilatation of the pelvic loop of the small bowel at the left side of the uterus. We detected internal hernia through the defect in the broad ligament and managed it successfully by performing a laparoscopic procedure using a barbed suture, V-Loc (Covidien, Mansfield, MA).

Keyword

Internal hernia; Broad ligament; Small bowel obstruction; Laparoscopy; Barbed suture

MeSH Terms

Broad Ligament*
Dilatation
Emergency Service, Hospital
Female
Hernia*
Humans
Ileum
Intestinal Obstruction
Laparoscopy
Middle Aged
Phenobarbital
Sutures*
Uterus*
Phenobarbital
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