THREE CASES OF BOWEL OBSTRUCTION BY BROAD LIGAMENT HERNIA

Abstract INTRODUCTION Internal hernias caused by broad ligament defects are an infrequent cause of bowel obstruction. These may be congenital or acquired mainly gynecological antecedents. Small is the most common affected and diagnosis difficult due to nonspecific symptoms absences characteristic radiological signs. MATERIAL AND METHODS We report cases three women aged from 43 56 years old, who came emergency with abdominal pain, vomiting bloating hours duration. One patient has a history laparoscopic appendectomy, rest them no surgical history. In all cases, x-rays showed dilatation small loops air-fluid levels TC revealed generalized distention transition point in terminal ileum identifiable compatible RESULTS decided perform urgent surgery exploratory laparotomy one case approach, finding internal hernia occasioned incarceration through defect. content was liberated without evidence ischemia need for intestinal resection, defect closed. All patients had favourable postoperative course complications. DISCUSSION Broad rare hernias. diagnose clinically as well radiologically absence A high level clinical suspicion allows early treatment should performed soon possible reduce chances necrosis.