2010 Volume 69 Issue 6 Pages 367-369
We report a rare case of hiatal hernia of the broad ligament of the uterus, of which only 79 cases have been reported in Japan. A 40-year-old woman with no medical history was admitted to our department for abdominal pain and vomiting. Abdominal CT scan revealed a dilated small intestine and ascites in the pelvis. She was admitted under the diagnosis of ileus. Her condition was not improved after one day of conservative therapy. Further examination showed complete stenosis of the intestine. Emergency operation was performed. Operative findings revaled an abnormal defect, 3 cm in size, in the right broad ligament of uterus, and that an ∼90 cm length of the ileum had impacted into the defect. Ischemic change was recognized. After 100 cm of the small bowl was resected, the defect was simply closed. The postoperative course was uneventful. The patient was dischaged on the 10th postoperative day, and has since remained asymptomatic.