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  • Title: Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes.
    Author: Fernandes MG, Loureiro AR, Obrist MJ, Prudente C.
    Journal: Acta Med Port; 2019 Mar 29; 32(3):240-243. PubMed ID: 30946797.
    Abstract:
    Internal hernias are a rare cause of bowel obstruction (1%) and can be caused by broad ligament defects in 4% to 7% of the cases. These defects may be congenital or acquired and are classified according to its anatomical location. This paper reports three cases of small bowel obstruction by broad ligament hernia. The patients, three women aged from 35 to 51 years old, were admitted to the emergency department with small bowel obstruction. An exploratory laparotomy was performed during which an internal hernia through a broad ligament defect was identified. In all cases the hernia content was reduced and the defect closed. One of the patients required a segmental enterectomy. All patients had a favorable outcome. This paper aims to raise awareness about the broad ligament hernia as a cause of bowel obstruction, namely in middle-aged women with no surgical history. As hérnias internas são uma causa rara de oclusão intestinal (1%) e podem ser causadas por anomalias do ligamento largo do útero em 4% a 7% dos casos. Estas anomalias podem ser congénitas ou adquiridas e são classificadas de acordo com a sua localização anatómica. Descrevem-se três casos clínicos de oclusão de intestino delgado por hérnia do ligamento largo do útero. Três mulheres com idades entre os 35 e 51 anos recorreram ao serviço de urgência com quadro de oclusão intestinal. No decurso de laparotomia exploradora foi identificada uma hérnia interna através do ligamento largo do útero. Em todos os casos o conteúdo herniado foi reduzido e o orifício encerrado. Uma das doentes necessitou de enterectomia segmentar. Todas as doentes evoluíram favoravelmente. Este trabalho pretende alertar para o diagnóstico de hérnia do ligamento largo do útero como causa de oclusão intestinal, principalmente em mulheres de meia idade, sem antecedentes cirúrgicos.
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