Abstract
We report the case of a 94-year-old woman who presented with signs of a small bowel obstruction many years after an appendectomy. Abdominal computed tomography (CT) scan showed discontinuity of the small bowel at a point next to the uterus. We made a provisional diagnosis of an internal hernia through a defect in the broad ligament and performed laparoscopic exploration, which revealed a viable ileal loop incarcerated through the broad ligament. Thus, CT scan may be useful for diagnosing this type of defect preoperatively, whereby open surgery can be avoided.
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Takayama, S., Hirokawa, T., Sakamoto, M. et al. Laparoscopic Management of Small Bowel Incarceration Caused by a Broad Ligament Defect: Report of a Case. Surg Today 37, 437–439 (2007). https://doi.org/10.1007/s00595-006-3397-0
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DOI: https://doi.org/10.1007/s00595-006-3397-0