Abstract
Broad ligament herniation is defined as protrusion of viscera through the pelvic peritoneum. It accounts 5% of internal hernias. We report, a 17 year-old woman presenting with a 5cm adnexal anechoic cyst and episodic pelvic pain who has no remarkable medical history. After 8 hours of follow-up, clinical picture persisted and evaluation with laparoscopy. It was noted that right adnexa with 5cm cyst was herniated through broad ligament intraoperatively. Ovarian cyst was excised and hernia was repaired laparoscopically. Clinical findings were resolved after surgery and patient discharged the day after surgery. In conclusion, adnexal hernia through broad ligament should be thought in differential diagnosis of female acute pelvic pain. Laparoscopy is an effective procedure for the diagnosis and treatment of adnexal hernia
Keywords
ovarian hernia broad ligament hernia adnexial hernia female acute abdominal pain laparoscopy
References
- Zivi E, Maor-Sagy E, Ben–Shushan A, Rojansky N. Chronic pelvic pain and Allen-Masters syndrome. Harefauh. 2009;148:424–6.
- Demir H, Scoccia B. Internal herniation of adnexa through a defect of the broad ligament: case report and literature review. J Minim Invasive Gynecol. 2010;17:110–2. [CrossRef]
- Mailleux P, Ramboux A. Small bowel obstruction due to an internal herniation through a defect of the broad ligament. JBR-BTR. 2010;93:201–3.
- Baron A. Defect in the broad ligament and its association with intestinal strangulation. Br J Surg. 1948;36:91–4.
- Guillem P, Cordonnier C, Bounoua F, Adams P, Duval G. Small bowel incarceration in a broad ligament defect. Surg Endosc. 2003;17:161– 2. [CrossRef]
- Redwine DB. Symptomatic internal hernia of the broad ligament: a complication of electrocoagulation therapy of endometriosis. Obstet Gynecol. 1989;73:495–6.
- Hassadia A, Saha A. Bilateral herniation of the ovaries into the anterior compartment of the pelvis. J Minim Invasive Gynecol. 2011;18:9. [CrossRef]
- Marraoui W, Petitcolin V, Bros S, Slim K, Garcier JM, Da Ines D. Internal hernia of the broad ligament: CT diagnosis for laparoscopic management. Diagn Interv Imaging. 2012;93:621-4. [CrossRef]
Abstract
Broad ligaman hernisi iç organların pelvik peritondan fıtıklaşmasıdır. İnternal fıtıkların %5’ini oluşturmaktadır. Bu olgu sunumunda, epizodik karin ağrısı şikâyetiyle başvuran, daha önce medikal öyküsü bulunmayan ve değerlendirmesinde 5 cm‘lik adneksiyal anekoik kist şaptanmış olan hastayı sunmaktayız. 8 saatlik takip sonrasında klinik şikâyetlerin gerilememesi üzerine hastanın laparoskopi ile değerlendirilmesine karar verildi. Ameliyat bulgusu olarak sağ adneks ve 5 cm’lik kistin broad ligamandan herniye oldugu saptandı. Laparoskopik olarak over kisti eksize edilip, fıtıklaşma onarıldı. Klinik bulgular ameliyat sonrasi geriledi ve hasta bir gün sonra taburcu edildi. Sonuç olarak, kadınlarda akut batin tablosunda adnekslerin broad ligamandan fıtıklaşması akılda bulunması gereken ayırıcı tanılardan biridir. Adneksiyal herninin tanı ve tedavisinde laparoskopi etkin bir prosedürdür
References
- Zivi E, Maor-Sagy E, Ben–Shushan A, Rojansky N. Chronic pelvic pain and Allen-Masters syndrome. Harefauh. 2009;148:424–6.
- Demir H, Scoccia B. Internal herniation of adnexa through a defect of the broad ligament: case report and literature review. J Minim Invasive Gynecol. 2010;17:110–2. [CrossRef]
- Mailleux P, Ramboux A. Small bowel obstruction due to an internal herniation through a defect of the broad ligament. JBR-BTR. 2010;93:201–3.
- Baron A. Defect in the broad ligament and its association with intestinal strangulation. Br J Surg. 1948;36:91–4.
- Guillem P, Cordonnier C, Bounoua F, Adams P, Duval G. Small bowel incarceration in a broad ligament defect. Surg Endosc. 2003;17:161– 2. [CrossRef]
- Redwine DB. Symptomatic internal hernia of the broad ligament: a complication of electrocoagulation therapy of endometriosis. Obstet Gynecol. 1989;73:495–6.
- Hassadia A, Saha A. Bilateral herniation of the ovaries into the anterior compartment of the pelvis. J Minim Invasive Gynecol. 2011;18:9. [CrossRef]
- Marraoui W, Petitcolin V, Bros S, Slim K, Garcier JM, Da Ines D. Internal hernia of the broad ligament: CT diagnosis for laparoscopic management. Diagn Interv Imaging. 2012;93:621-4. [CrossRef]
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | September 1, 2018 |
| Published in Issue | Year 2018Issue: 3 |