Internal Hernia through a Defect in the Broad Ligament of Uterus: Laparoscopic Management Using a Self-Anchoring Barbed Suture.
10.7602/jmis.2018.21.3.130
- Author:
Je Hyung PARK
1
;
Soo Hong KIM
;
Yong Hoon CHO
Author Information
1. Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea. soohongnara@hanmail.net
- Publication Type:Case Report
- Keywords:
Internal hernia;
Broad ligament;
Small bowel obstruction;
Laparoscopy;
Barbed suture
- MeSH:
Broad Ligament*;
Dilatation;
Emergency Service, Hospital;
Female;
Hernia*;
Humans;
Ileum;
Intestinal Obstruction;
Laparoscopy;
Middle Aged;
Phenobarbital;
Sutures*;
Uterus*
- From:Journal of Minimally Invasive Surgery
2018;21(3):130-132
- CountryRepublic of Korea
- Language:English
-
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).
