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  • Title: Laparoscopic management of small bowel incarceration caused by a broad ligament defect: report of a case.
    Author: Takayama S, Hirokawa T, Sakamoto M, Takahashi H, Yamamoto M, Sato M, Manabe T.
    Journal: Surg Today; 2007; 37(5):437-9. PubMed ID: 17468830.
    Abstract:
    We report the case of a 94-year-old woman who presented with signs of a small bowel obstruction many years after an appendectomy. Abdominal computed tomography (CT) scan showed discontinuity of the small bowel at a point next to the uterus. We made a provisional diagnosis of an internal hernia through a defect in the broad ligament and performed laparoscopic exploration, which revealed a viable ileal loop incarcerated through the broad ligament. Thus, CT scan may be useful for diagnosing this type of defect preoperatively, whereby open surgery can be avoided.
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