Abstract
We report herein on our cases of internal hernia through the broad ligament of the uterus. A 48-year-old woman (case 1) came to our hospital with vomiting and abdominal pain. These symptoms then vanished, but her abdominal pain subsequently became worse. Abdominal CT showed a dilated small intestine located at the left side of the uterus and strangulated intestinal loops near the left fallopian tube. Thus, she was diagnosed as having an internal hernia through the broad ligament of the uterus, and emergency surgery was performed. The small intestine was incarcerated in the defect of the left broad ligament. A part of the small bowel was resected because of necrosis. In case 2, a 44-year-old woman came to our hospital with abdominal pain. Abdominal CT showed a dilated small intestine on the ventral side of the left broad ligament of the uterus. This was considered an internal hernia, and surgery was performed. Strangulation and necrosis of the small intestine were not found. The defect in the broad ligament was closed.
