Abstract
Internal hernias through a defect of the broad ligament of the uterus are rare. A 42-year-old female without any history of previous surgery was admitted to hospital because of upper abdominal pain and nausea. Abdominal CT showed dilated small bowel loops and the displacement of the uterus toward the left side. Symptomatic remission was not attained by the placement of a long tube, and surgery was therefore performed 3 days after admission. Surgery revealed a fissure in the right broad ligament of the uterus measuring about 2 cm in diameter and a part of the distal ileum measuring about 30 cm in length and located 100 cm proximal to the ileocecal valve was incarcerated through this defect. The ileum was carefully reduced and the defect of the broad ligament was sutured. An approximately 10 cm long segment of the ileum had lapsed into ischemic necrosis and was thus resected. The patient's postoperative course was uneventful and she was discharged on the 14th postoperative day.
