Journal Basic Info

  • Impact Factor: 1.989**
  • H-Index: 6
  • ISSN: 2637-4625
  • DOI: 10.25107/2637-4625
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Emergency Surgery
  •  Hand Surgery
  •  Transplant Surgery
  •  General Surgery
  •  Reconstructive Surgery
  •  Cardiovascular Surgery
  •  Aesthetic & Cosmetic Surgery
  •  Cardiac Surgery

Abstract

Citation: World J Surg Surg Res. 2021;4(1):1290.DOI: 10.25107/2637-4625.1290

Intestinal Obstruction due to Broad Ligament Hernia: Laparoscopic Treatment: Case Report

Cavalla C1*, Vicentela A2, Cerda MF3, Benoit E3, Solar MC3 and Schiappacasse G2

1Department of Surgery, Clínica Alemana/Universidad del Desarrollo, Santiago, Chile
2Department of Radiology, Clínica Alemana/Universidad del Desarrollo, Santiago, Chile
3Department of Medicine, Clínica Alemana/Universidad del Desarrollo, Santiago, Chile

*Correspondance to: Cristian Cavalla 

 PDF  Full Text Case Report | Open Access

Abstract:

Introduction: Intestinal obstruction due to broad ligament hernia is a serious condition with a very
low frequency, which requires a rapid diagnosis and adequate treatment. The support with images,
Computed Axial Tomography (CT) with intravenous contrast allows, in some cases, to confirm
the diagnosis and provide an approximation of the vitality of the compromised bowel loop. The
laparoscopic approach is a tool that should be considered when facing this pathology.
Case Report: A 30-year-old woman, without previous abdominal surgeries, who consulted for a
48-h history of abdominal pain associated with nausea and vomiting. A CT scan of the abdomen
and pelvis was performed showing pathological dilation of the small intestine loops and a change
in caliber in relation to the broad ligament. Laparoscopic abdominal exploration was performed
reduction of the internal broad ligament hernia and closure of the hernial defect. Postoperative
evolution without difficulties and was discharged after 24 h. Postoperative controls without evidence
of complications.
Discussion: In cases of intense acute abdominal pain without a history of previous abdominal
surgeries and with difficult management with usual analgesics, intestinal obstruction should be
considered. Abdominal and pelvis CT with contrast is the test of choice that allows planning a
treatment strategy and sometimes making a diagnosis. Laparoscopic resolution of bowel obstruction
due to broad ligament hernia in this case was possible without complications and with a short
hospital stay.
Conclusion: Intestinal obstruction due to hernia of the broad ligament is a clinical event that
requires diagnosis and prompt treatment. The CT of the abdomen and pelvis was very useful in
this case, providing information on the vitality of the compromised loop and an accurate diagnosis.
The laparoscopic approach and resolution was successful, but there is insufficient evidence to
recommend it for all patients.

Keywords:

Cite the Article:

Cavalla C, Vicentela A, Cerda MF, Benoit E, Solar MC, Schiappacasse G. Intestinal Obstruction due to Broad
Ligament Hernia: Laparoscopic Treatment: Case Report. World J Surg Surgical Res. 2021; 4: 1290..

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