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Case Report
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| Hernia of the broad ligament of the uterus | ||||||
| Satoshi Tokuda1, Hajime Orita1, Tomoaki Ito1, Mutsumi Sakurada1, Tomoyuki Kushida1, Hiroshi Maekawa1, Miki Yamano2, Ryo Wada2, Koichi Sato1 | ||||||
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1Department of Surgery, Juntendo Shizuoka Hospital, Shizuoka, Japan.
2Department of Pathology, Juntendo Shizuoka Hospital, Shizuoka, Japan. | ||||||
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| How to cite this article |
| Tokuda S, Orita H, Ito T, Sakurada M, Kushida T, Maekawa H, Yamano M, Wada R, Sato. Hernia of the broad ligament of the uterus. Int J Case Rep Images 2016;7(7):463–466. |
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Abstract
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Introduction:
Intestinal obstruction is commonly seen at emergency services but is not usually caused by internal hernias (organs or intestinal tract invaginated in the abdominal cavity, purse and hiatus). Herniation through defects of the broad ligament is especially rare. In this study, we report a case that was difficult to diagnose due to a lack of useful information; a 49-year-old woman with intestinal obstruction because of hernia of the broad ligament of the uterus.
Case Report: A 49-year-old female presented with intermittent abdominal pain. Laboratory findings showed only slight leukocytosis (white blood cell count 12,500/µl). Four days later, her condition had worsened. Computed tomography (CT) scan showed distended loops and fluid in the Douglas' pouch. We thought that the cause was internal hernia and decided to operate. During surgery, the hernia of the broad ligament of the uterus was discovered. We resected the fallopian tube and proper ligament of the ovary and released the hernia. The postoperative course was uneventful and the patient was discharged on the day-8. Conclusion: We treated a case of an internal broad ligament hernia which was difficult to diagnose. | |
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Keywords:
Broad ligament, Ileus, Internal hernia, Intestinal obstruction, Uterus
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Author Contributions
Satoshi Tokuda – Substantial contributions to conception and design, Acquisition of data, Drafting the article, critical revision of the article, Final approval of the version to be published Hajime Orita – Substantial contributions to conception and design, Acquisition of data, Drafting the article, critical revision of the article, Final approval of the version to be published Tomoaki Ito – Acquisition of data, Drafting the article, Final approval of the version to be published Mutsumi Sakurada – Acquisition of data, Drafting the article, Final approval of the version to be published Tomoyuki Kushida – Acquisition of data, Drafting the article, Final approval of the version to be published Hiroshi Maekawa – Acquisition of data, Drafting the article, Final approval of the version to be published Miki Yamano – Acquisition of data, Drafting the article, Final approval of the version to be published Ryo Wada – Acquisition of data, Drafting the article, Final approval of the version to be published Koichi Sato – Acquisition of data, Drafting the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Satoshi Tokuda et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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