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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2013, Number 11

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Ginecol Obstet Mex 2013; 81 (11)

Internal hernia to the broad ligament: report of a rare case solved with laparoscopy and review of the literature

Fonseca-Coronado R, Ledesma-Contreras JL, Robles-Elías FJ, Robles- Morales R
Full text How to cite this article

Language: Spanish
References: 10
Page: 658-664
PDF size: 373.24 Kb.


Key words:

Internal hernia, acute painful abdominal syndrome, intestinal obstruction syndrome, broad ligament of the uterus, multi detector computed tomography.

ABSTRACT

We note a specific case report of a 38 year old patient, who presented to an emergency room with an 8-hour history of a continuous and progressive, abdominal pain syndrome. Without fever, nausea, vomiting, or urinary tract symptoms, and with a 36-hour history of constipation. We established as a first possibility the clinical diagnosis of, acute appendicitis vs. an ovarian cyst complication, such as rupture or torsion. After the initial basic diagnostic tests, we decided to do a laparoscopic approach for purposes of diagnosis and treatment.


REFERENCES

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  2. Canadas R y col. Complicaciones de cirugía bariátrica. Hernia interna: una condición potencialmente fatal: Reporte de un caso y revisión de la bibliografía. Rev Col Gastroenterol [online] 2007;22:243-248.

  3. Robles FJ. Prevención del conflicto médico legal. México: Nieto Editores, 2011.

  4. Bernal EA, Restrepo MR, Bernal CC, Castaño LR. Foramen congénito del ligamento ancho con hernia enteral interna y sufrimiento intestinal reversible: presentación de dos casos. Rev Col Gastroenterol 2012;27.

  5. Hola J, Azolas R, y col. Hernia interna secundaria a defecto del ligamento ancho. Rev Chil Cirug 2010;62:13- 14.

  6. Motta-Ramírez GA, Alonso-Blancas E, González- Merino LlI, Montero y Mota JC. La hernia interna como condicionante del síndrome de obstrucción intestinal: identificación y evaluación por tomografía computada multidetector. Anales de Radiología México 2012;3:157- 164.

  7. Kunihiko H, Kyoei M, Hiroshi M, Keiichi S, et al. Strangulated hernia through a defect of the broad ligament and mobile cecum: A case report. World J Gastroenterol 2006;12:1479-1480.

  8. Guillem P, Cordonnier C, Bounoua F, Adams P, Duval G. Small bowel incarceration in a broad ligament defect. Surg Endosc 2003;17:161-162.

  9. García-Oria M, Inglada J, Domingo J, Biescas J, Ching Ch. Small bowel obstruction due to broad ligament hernia successfully treated by laparoscopy. J Laparoendos Advan Surg Tec 2007;17:666-668.

  10. Tarek B. Broad ligament disorders updated. Jul 9, 2012. Medscape Reference. Drugs, diseases & Procedures.




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C?MO CITAR (Vancouver)

Ginecol Obstet Mex. 2013;81