Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
Case of Intestinal Hernia Through a Defect in the Broad Ligament of the Uterus Managed Without Bowel Resection: A Case Report
Junichi AburakiTomoharu ShimizuHiromichi SonodaHiroyuki OtaTomoyuki UekiToru MiyakeTsuyoshi YamaguchiSachiko KaidaHiroya IidaMasaji Tani
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2019 Volume 39 Issue 1 Pages 043-046

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Abstract

A 45-year-old woman was admitted to our hospital with a 2-h history with acute onset of acute abdominal pain and vomiting. Abdominal contrast-enhanced computed tomography showed trapped intestine in the region to the left of the uterus. Laparoscopic surgery was performed for uterine broad ligament hernia, and a segment of the intestine was found to have herniated into a defect of the left broad ligament. The intestine was released from the defect, and the discolored and incarcerated segment of the intestine measured approximately 20 cm long. The intestine was more closely observed through a small laparotomy. Blood flow was not evaluated, but a Photodynamic Eye (PDE) was used. The PDE showed adequate blood flow, therefore, bowel resection was not performed. The patient had an uncomplicated postoperative course. We encountered a rare case of an intestinal hernia through a defect in the broad ligament of the uterus. However, no objective evaluation criteria were followed to determine whether bowel resection should be performed or not. Therefore, further accumulation of cases is necessary.

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© 2019, Japanese Society for Abdominal Emargency Medicine
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