Aceves QCA, Bezerra IARC, León MG, Castillo GJJ

Language: Spanish
References: 5
Page: 370-372
PDF size: 238.00 Kb.

ABSTRACT

Broad ligament hernias are a rare cause of internal hernia. They can be congenital or acquired, secondary to rupture of a Müller cyst, previous surgeries, pregnancy, birth-related trauma, or pelvic inflammatory disease. We present a 38-year-old female with colicky abdominal pain of four hours of evolution, predominantly in the left flank; the tomography showed hydro-aerial levels in jejunal loops and swirling of the mesentery in the left flank. A laparoscopy was performed, finding an internal hernia with a defect in the left broad ligament, with the content of jejunal loops; the defect was reduced and repaired without complications. Of the intestinal occlusions, 1% are due to internal hernia, and only 4% are of the broad ligament. Tomography is the study of choice, finding a transition zone in the pelvis, dilatation of bowel loops lateral to the uterus, or increased distance between the uterus and one of the ovaries. Laparoscopy is ideal for confirming the diagnosis and for management. These hernias are a rare type of internal hernias and should be suspected, especially in cases with a history of surgery, obstetric trauma, or pelvic inflammatory disease.

REFERENCES

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