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Recurrence hernia in the broad ligament of the uterus: a case report

BACKGROUND: Bowel herniation through a defect in the broad ligament of the uterus is a rare disease and few cases of recurrence have been reported. We report herein a recurrence case of a patient with broad ligament hernia (BLH), along with a review of the literature. CASE PRESENTATION: A 53-year-ol...

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Autores principales: Hashimoto, Yoshifumi, Kanda, Tatsuo, Chida, Tadasu, Suda, Kazuyoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7669980/
https://www.ncbi.nlm.nih.gov/pubmed/33196861
http://dx.doi.org/10.1186/s40792-020-01030-5
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author Hashimoto, Yoshifumi
Kanda, Tatsuo
Chida, Tadasu
Suda, Kazuyoshi
author_facet Hashimoto, Yoshifumi
Kanda, Tatsuo
Chida, Tadasu
Suda, Kazuyoshi
author_sort Hashimoto, Yoshifumi
collection PubMed
description BACKGROUND: Bowel herniation through a defect in the broad ligament of the uterus is a rare disease and few cases of recurrence have been reported. We report herein a recurrence case of a patient with broad ligament hernia (BLH), along with a review of the literature. CASE PRESENTATION: A 53-year-old woman complaining of abdominal pain was transported to our hospital. She had a history of laparotomy for small-bowel obstruction associated with hernia in the broad ligament of the uterus 10 years ago at a local hospital. Abdominal pelvic contrast-enhanced computed tomography revealed that the mesentery of the dilated bowels converged at a thick band in the pelvis, suggesting closed loop obstruction of the small bowel. The patient underwent urgent laparotomy and was diagnosed with bowel herniation through an opening in the broad ligament of the uterus on the right side, which was ipsilateral with the previous surgery. The hernia orifice was widened by incision and incarcerated bowel segments were released and preserved because ischemia was reversible. The membranous defect of BLH was closed by suture with braded silk strings. CONCLUSIONS: Although BLH is a rare disease, patients face a significant risk of disease recurrence. Nonabsorbable suture may be advisable for closure of the hernia orifice in BLH.
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spelling pubmed-76699802020-11-18 Recurrence hernia in the broad ligament of the uterus: a case report Hashimoto, Yoshifumi Kanda, Tatsuo Chida, Tadasu Suda, Kazuyoshi Surg Case Rep Case Report BACKGROUND: Bowel herniation through a defect in the broad ligament of the uterus is a rare disease and few cases of recurrence have been reported. We report herein a recurrence case of a patient with broad ligament hernia (BLH), along with a review of the literature. CASE PRESENTATION: A 53-year-old woman complaining of abdominal pain was transported to our hospital. She had a history of laparotomy for small-bowel obstruction associated with hernia in the broad ligament of the uterus 10 years ago at a local hospital. Abdominal pelvic contrast-enhanced computed tomography revealed that the mesentery of the dilated bowels converged at a thick band in the pelvis, suggesting closed loop obstruction of the small bowel. The patient underwent urgent laparotomy and was diagnosed with bowel herniation through an opening in the broad ligament of the uterus on the right side, which was ipsilateral with the previous surgery. The hernia orifice was widened by incision and incarcerated bowel segments were released and preserved because ischemia was reversible. The membranous defect of BLH was closed by suture with braded silk strings. CONCLUSIONS: Although BLH is a rare disease, patients face a significant risk of disease recurrence. Nonabsorbable suture may be advisable for closure of the hernia orifice in BLH. Springer Berlin Heidelberg 2020-11-16 /pmc/articles/PMC7669980/ /pubmed/33196861 http://dx.doi.org/10.1186/s40792-020-01030-5 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Hashimoto, Yoshifumi
Kanda, Tatsuo
Chida, Tadasu
Suda, Kazuyoshi
Recurrence hernia in the broad ligament of the uterus: a case report
title Recurrence hernia in the broad ligament of the uterus: a case report
title_full Recurrence hernia in the broad ligament of the uterus: a case report
title_fullStr Recurrence hernia in the broad ligament of the uterus: a case report
title_full_unstemmed Recurrence hernia in the broad ligament of the uterus: a case report
title_short Recurrence hernia in the broad ligament of the uterus: a case report
title_sort recurrence hernia in the broad ligament of the uterus: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7669980/
https://www.ncbi.nlm.nih.gov/pubmed/33196861
http://dx.doi.org/10.1186/s40792-020-01030-5
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