A Case of Strangulated Ileus due to Internal Hernia through a Defect of the Broad Ligament of the Uterus Treated by Reduced Port Surgery

Abstract

We report a case of strangulated ileus due to internal hernia through a defect of the broad ligament of the uterus treated by reduced port surgery (RPS). A 40-year-old woman was admitted to our hospital with lower abdominal pain and vomiting. An abdominal CT scan revealed enlargement of the small intestine within the pelvis and displacement of the uterus toward the right side. RPS was performed under a diagnosis of internal hernia through a defect of the left broad ligament of the uterus. Since intestinal necrosis developed because of the incarceration through a defect of the broad ligament, operation included resection of necrotic intestine and laparoscopic suture of the defect was performed. RPS is technically feasible in this case and produces a less invasiveness and increased cosmetic benefits.