Strangulated internal hernia due to defect in broad ligament: a case report

Reyes, Nicole M; Smith, L.; Bruce, David S.

doi:10.1093/jscr/rjaa487

Cited by 8 publications

(9 citation statements)

References 7 publications

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“…As the clear diagnosis of an internal hernia was not identified on CT scanning and due to the high risk of ischaemia, our case underwent a laparotomy rather than a minimally invasive intervention, but this is something that should be considered and discussed with patients as part of the consent process. In the recent literature, this review found a 50/50 divide between laparoscopic and open management of Quain herniae, with one case converted to open due to intra-operative difficulties [19] . Of those successfully diagnosed on CT scan, only 60% were managed laparoscopically.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

“…This paper offers an updated and comprehensive literature review of the additional 17 cases of Quain herniae published in English literature since the previous review in 2012 as well as comparison with our own case outlined above, describing all significant aspects of investigation and management of these rare herniae [5] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] ( Table 1 ).…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

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Quain hernia - A rare cause of acute small bowel obstruction. A case report and an updated literature review

MacDonald

Stokes

Sharaf

et al. 2021

International Journal of Surgery Case Reports

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Section: Discussion and Literature Reviewmentioning

confidence: 99%

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Quain hernia - A rare cause of acute small bowel obstruction. A case report and an updated literature review

MacDonald

Stokes

Sharaf

et al. 2021

International Journal of Surgery Case Reports

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“…The preoperative diagnosis rate is low at 46.4% ( Table 1 ). There are still many cases that could not be diagnosed preoperatively [ 2–4 ]. For many cases, preoperative diagnosis was possible by looking at the MDCT images [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…For many cases, the patient is diagnosed with enteritis and simple bowel obstruction. Delayed diagnosis of a patient can lead to intestinal resection, peritonitis and even death [ 2–4 ]. Here, we report a case of BLH that was diagnosed early based on characteristic CT findings.…”

Section: Introductionmentioning

confidence: 99%

Usefulness of early diagnosis of small bowel obstruction due to broad ligament hernia using multidetector computed tomography: a case report

Kubota

Sakuma

Katada

et al. 2022

Journal of Surgical Case Reports

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Small bowel obstruction due to broad ligament hernia (BLH) is a rare type of internal hernia. Preoperative diagnosis is difficult, as clinical symptoms and imaging results are often nonspecific. BLH has a high risk of strangulation and requires surgery for the reduction of herniated bowels. According to an analysis of 140 BLH cases reported in Japan, the typical patient is a middle-aged woman who has been pregnant and has no history of abdominal surgery and the characteristic computed tomography (CT) findings. This report will enable preoperative early diagnosis with our description of the typical patient with BLH and the characteristic CT findings. Tortuousness and dilation of the ovarian veins were noted in three cases, including in ours. This may be used as a new CT feature of early detection. Additionally, we report a case of BLH successfully treated after early diagnosis using multidetector CT.

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“…Salpingectomy is another management option which will eliminate the risk of recurrence. [ 1 , 2 , 6 , 7 ]…”

Section: Introductionmentioning

confidence: 99%

Strangulated small-bowel internal hernia through a defect in the broad ligament of the uterus presenting as acute intestinal obstruction: A case report

Arif

Mohammed

2021

Case Reports in Women's Health

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Background Internal hernias rarely lead to bowel obstruction; they are caused by a natural or unnatural opening within the peritoneal cavity. Defects in the broad ligament are extremely rare. Patients present with features of intestinal obstruction and most cases are diagnosed during surgery. Case presentation A 62-year-old parous woman presented with epigastric pain and attacks of vomiting for 1 week. The patient had had constipation for the last 5 days. She had no history of abdominal surgery. Abdominal examination revealed a distended abdomen with evidence of generalized abdominal tenderness. Abdominal CT scan showed evidence of intestinal obstruction. During laparotomy there were dilated small-bowel loops with an evidence of internal hernia through a 3 cm × 3 cm defect in the left broad ligament, through which a segment of strangulated terminal ileum was passing. Resection of the strangulated bowel was performed with end-to-end intestinal anastomosis. The broad ligament defect was closed with a slowly absorbable suture material. Conclusion Surgery for intestinal obstruction due to internal hernias should follow the same principles of any case of intestinal obstruction, whether performed by the open conventional technique or laparoscopically. Surgery should not be delayed, to avoid increased morbidity and mortality. During surgery it is mandatory that the surgeon looks for any other possible defects and close them to avoid recurrence. Internal hernias caused by broad ligament defects are best managed by either closure of the defect or salpingectomy; the course of the ureter must be identified during surgery to prevent injury.

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Strangulated internal hernia due to defect in broad ligament: a case report

Cited by 8 publications

References 7 publications

Quain hernia - A rare cause of acute small bowel obstruction. A case report and an updated literature review

Quain hernia - A rare cause of acute small bowel obstruction. A case report and an updated literature review

Usefulness of early diagnosis of small bowel obstruction due to broad ligament hernia using multidetector computed tomography: a case report

Strangulated small-bowel internal hernia through a defect in the broad ligament of the uterus presenting as acute intestinal obstruction: A case report

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