Internal hernia is a
rare cause of intestinal obstruction. We present a case of 43-year-old woman without
any prior surgical history who was referred as a case of obstructed para-umbilical
hernia from a satellite clinic. The objective is to highlight the occurrence of
such a rare clinical problem and to provide an insight into decision making especially
when there is discordance between an obvious pathology and clinical features.
Cite this paper
Essoun, S. and Debrah, S. (2014) Intestinal Obstruction Due to an Internal Hernia through a Defect of the Broad Ligament in an Adult Female Patient: Case Report and Literature Review. International Journal of Clinical Medicine
, 814-817. doi: 10.4236/ijcm.2014.513109
 Ghahremani, G.G. (1984) Internal Abdominal Hernias. Surgical Clinics of North America, 64, 393-406.
 Slezak, F.A. and Schlueter, T.M. (1995) Hernia of the Broad Ligament. Hernia, 4, 491-497.
 Quain (1861) Case of Internal Strangulation of a Large Portion of Ileum. Transactions of the Pathological Society of London, 12, 103-104.
 Lim, S.Z. (2012) Case Report of an Internal Hernia through a Unilateral Congenital Defect of the Broad Ligament and Literature Review. Proceedings of Singapore Healthcare, 21, 213-216.
 Hunt, A.B. (1934) Fenestra and Pouches in the Broad Ligament as an Actual and Potential Cause of Strangulated Intraabdominal Hernia. Surgery, Gynecology, Obstetrics, 58, 906-913.
 Cilley, R., Poterack, K., Lemmer, J. and Dafoe, D. (1986) Defects of the Broad Ligament of the Uterus. American Journal of Gastroenterology, 81, 389-391.
 Tanaka, M., Kaneko, Y., Letsugu, K. and Yoshida, C. (1994) Internal Herniation through a Broad Ligament Defect after Obturator Hernia Repair. Surgery Today, 24, 634-637. http://dx.doi.org/10.1007/BF01833730
 Denton, G.W., Schofield, J.B. and Gallagher, P. (1990) Uncommon Complications of Laparoscopic Sterilisation. Archive of Annals of the Royal College of Surgeons of England, 72, 210-211.
 Redwine, D.B. (1989) Symptomatic Internal Hernia of the Therapy of Endometriosis. Obstetrics Gynecology, 73, 495-496.
 Ishihara, H., Terahara, M., Kigawa, J., et al. (1993) Strangulated Herniation through a Defect in the Broad Ligament of the Uterus. Gynecologic and Obstetric Investigation, 35, 187-189. http://dx.doi.org/10.1159/000292697
 Gray, S.W. and Skandalakis, J.E. (1972) Embryology for Surgeons. WA Saunders, Philadelphia.
 Demir, H. and Scoccia, B. (2010) Internal Herniation of Adnexa through a Defect of the Broad Ligament: Case Report and Literature Review. Journal of Minimally Invasive Gynecology, 17, 110-112. http://dx.doi.org/10.1016/j.jmig.2009.10.002
 Nackley, A.C. and Yeko, T.R. (2000) Ureteral Displacement Associated with Pelvic Peritoneal Defects and Endometriosis. Journal of the American Association of Gynecologic Laparoscopists, 7, 131-133.http://dx.doi.org/10.1016/S1074-3804(00)80023-7
 Bates, G.J., Bennett, I.C. and Furnival, C.M. (1983) A Strangulated Hernia through the Broad Ligament Causing Ureteric Obstruction. Journal of the Royal College of Surgeons of Edinburgh, 28, 335.
 Balthazar, E.J., Birnbaum, B.A., Megibow, A.J., Gordon, R.B., Whelan, C.A. and Hulnick, D.H. (1992) Closed-Loop and Strangulating Intestinal Obstruction: CT Signs. Radiology, 185, 769-775.
 Barbier Brion, B., Daragon, C., Idelcadi, O., Mantion, G., Kastler, B. and Delabrousse, E. (2011) Small Bowel Obstruction Due to Broad Ligament Hernia: Computer Tomography Findings. Hernia, 15, 353-355.http://dx.doi.org/10.1007/s10029-010-0660-5
 Bangari, R. and Uchil, D. (2012) Laparoscopic Management of Internal Hernia of Small Intestine through a Broad Ligament Defect. Journal of Minimally Invasive Gynecology, 19, 122-124. http://dx.doi.org/10.1016/j.jmig.2011.09.001