Two Cases of Internal Hernia of the Broad Uterine Ligament Treated with Laparoscopic Surgery

• Published in: Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) Vol. 38; no. 4; pp. 679 - 682
• Main Authors: Takami, Tomoya, Tomita, Masafumi
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society for Abdominal Emergency Medicine 31.05.2018; 日本腹部救急医学会
• Subjects: 内ヘルニア; 子宮広間膜ヘルニア; 腹腔鏡手術
• ISSN: 1340-2242; 1882-4781
• DOI: 10.11231/jaem.38.679

We present herein on a patient that was treated successfully laparoscopically.【Case 1】The patient was a 34-year-old female with a previous caesarean birth. She was admitted to our hospital due to abdominal pain. Given a diagnosis of postoperative adhesion ileus, she was put under conservative therapy, however the pain became more severe. She was operated on at the department 4 days after admission when laparoscopic operation was performed to make a definitive diagnosis and treatment. At laparotomy, we found that the small intestine was herniated into the pocket of the broad ligament of the uterus. We extricated the intestine and sutured the defect.【Case 2】The patient was a 57-year-old female with a pregnancy history. She was admitted to our hospital due to abdominal pain and vomiting from 3 day previously. Based on computed tomography findings the patient was diagnosed as having an internal hernia of the broad ligament of the uterus. She was also treated successfully laparoscopically. The postoperative course of both these cases was uneventful. Laparoscopic surgery can reduce surgical invasion and is advantageous in terms of tolerability. So, if not accompanied by intestinal necrosis, we think that it is possible to perform laparoscopic surgery.