2024 Volume 49 Issue 2 Pages 88-94
Case: A 60-year-old woman with a history of two deliveries presented to our hospital with severe abdominal pain. Findings on physical examination and imaging resulted in a provisional diagnosis of an incarcerated right inguinal hernia. Laparoscopic examination identified a small congested bowel loop through the left broad ligament, not in the inguinal region. We excised an ischemic segment of the small intestine and closed the orifice of the broad ligament. Her postoperative course was uneventful.
Discussion: A total of 274 cases of incarceration of the intestine or uterine appendage through the broad ligament, including the present case, were reviewed. The location of an abnormal orifice in the broad ligament was more of the fenestrate type than the pouch type according to Hunt’s classification. According to Cilley–Fafet’s classification, half of the cases were classified as Type 1. This is a benign condition that is difficult to diagnose preoperatively; therefore, laparoscopy is indicated because it is non-invasive and effective in determining the diagnosis.
