Internal Hernia through a Defect in the Broad Ligament.
Intestinal obstruction is a common emergency in the daily surgical practice. Internal hernias causing intestinal obstruction are rare and internal hernias through broad ligament are extremely rare. Symptoms may be colicky abdominal pain, nausea, vomiting and absolute constipation. CT can help in diagnosis although most of the time diagnosis comes on laparotomy performed for intestinal obstruction of obscure origin. Treatment consists of reduction of the herniating intestine and repair of the defect in broad ligament. We present a case of 49 years old female without any prior surgical history, delivery trauma or pelvic pathology who presented by clinical picture of intestinal obstruction. Internal herniation through a defect in the right broad ligament was found.
Dr. Taha Abdelkader Ahmed Taha