Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 May 6;14(5):e24769.
doi: 10.7759/cureus.24769. eCollection 2022 May.

Internal Hernia Through a Congenital Defect in Broad Ligament: A Rare and Elusive Cause of Intestinal Obstruction

Partha Nandi  1 , Sudhir Jain  1 , Akhil Kainth  1 , Shivani Atri  1
Affiliations
Case Reports

Internal Hernia Through a Congenital Defect in Broad Ligament: A Rare and Elusive Cause of Intestinal Obstruction

Partha Nandi et al. Cureus. .

Abstract

Internal hernias through a defect in the broad ligament is an uncommon cause of intestinal obstruction and most often the finding is intra-operative. What makes it rare is when the hernia occurs through a congenital defect in the broad ligament. We present the case of a 48-year-old female patient operated on an emergency basis for intestinal obstruction and intra-operatively the cause was identified to be a herniated ileal loop through a defect in the broad ligament. There was no history of any prior abdominal surgery or any interventions and all of her children were born by normal vaginal delivery, making it a case of congenital broad ligament defect. The postoperative period was uneventful and she was discharged in good health.

Keywords: case report; congenital broad ligament defect; internal hernia; small intestinal obstruction; surgery.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Defect in left broad ligament as indicated by the arrow.
Figure 2
Figure 2. Non-viable segment of ileum (marked by the arrow).
See this image and copyright information in PMC

References

    1. Meyers MA, Charnsangavej C, Oliphant M. Meyers’ Dynamic Radiology of the Abdomen. New York, NY: Springer; 2011. Internal abdominal hernias; pp. 381–409.
    1. A case of small bowel obstruction due to a paracecal hernia. Jang EJ, Cho SH, Kim DD. J Korean Soc Coloproctol. 2011;27:41–43. - PMC - PubMed
    1. Internal hernia through a defect in the broad ligament of uterus: laparoscopic management using a self-anchoring barbed suture. Park JH, Kim S, Cho Y. J Minim Invasive Surg. 2018;21:130–132.
    1. Craig ME, Sudanagunta S, Billow M. Treasure Island, FL: StatPearls Publishing; 2022. Anatomy, Abdomen and Pelvis, Broad Ligaments. - PubMed
    1. A transmesenteric congenital internal hernia presenting in an adult. Edwards HM, Al-Tayar H. J Surg Case Rep. 2013;2013:99. - PMC - PubMed

Publication types

LinkOut - more resources