One per cent of cases of mechanical occlusion of the small intestine are caused by internal hernias, the rarest type being an internal hernia through the broad ligament of the uterus, and representing approximately 5% of cases. While "conventional" treatment of mechanical occlusions of the small intestine is based on laparotomy, a laparoscopic approach is feasible in nearly half of cases, with an acceptable rate of morbidity. Preoperative diagnosis has for a long time been difficult but the usefulness has recently been emphasized of computed tomography. We report the cases of two patients who presented an internal hernia of the right broad ligament diagnosed with CT who afterwards underwent laparoscopic surgery.

In our series, tomosynthesis found more lesions than mammography in 10% of patients, resulting in an adaption of the surgical plan.

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Among the family of mesenchymatous tumours, inflammatory myofibroblastic tumours (IMT) are an increasingly recognised and defined lesional group due to the great many studies and recent publications. The aetiopathogenicity is still not fully understood. It seems that an immune origin is involved in the pathological process. These masses result from the proliferation of fibroblast and lymphocyte cells associated with collagen wickerwork. Most often benign, they may affect any organ or supporting tissue. However, these lesions remain non-specific and are difficult to distinguish from malignant tumoral processes. Here resides the value of imaging: to make the diagnosis, guide the biopsy and thereby avoid early damaging surgery or an aggressive medical treatment. This is all the more valid since recent papers have shown that corticotherapy of short duration is currently the first intention treatment We here describe the case of a female patient presenting disseminated erythematous lupus who presented a cervical myofibroblastic tumour. The early diagnosis allowed for the initial medical care, which turned out to be effective without resorting to surgery.

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