A CASE OF BROAD LIGAMENT OF UTERUS HERNIA WITH ABNORMAL DEFFECTS IN THE LIGAMENT BILATERALLY

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  • MIYAZAWA Tomonori
    Division of Digestive and General Surgery, Department of Regenerative and Transplant Medicine, Course for Biological Functions and Medical Control, Graduate School of Medicine and Dental Science, Niig Department of Surgery, Niigata Prefectural Sakamachi Hospital
  • TOMITA Hiroshi
    Department of Surgery, Niigata Prefectural Sakamachi Hospital
  • MAKINO Haruhiko
    Department of Surgery, Niigata Prefectural Sakamachi Hospital
  • HATAKEYAMA Katsuyoshi
    Division of Digestive and General Surgery, Department of Regenerative and Transplant Medicine, Course for Biological Functions and Medical Control, Graduate School of Medicine and Dental Science, Niig

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Other Title
  • 両側に異常裂孔を認めた子宮広間膜ヘルニアの１例

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Abstract

An 82-year-old woman was admitted to our hospital because of sudden onset of abdominal pain. Abdominal CT scan showed edematous convergence of the mesentery and small intestine loops deviated the uterus to the left side in pelvic space. We thus diagnosed broad ligament hernia, and performed an emergency operation. At laparotomy, ileum was herniated through an abnormal defect in the right broad ligament. Round ligament was cut and the incarceration was reduced. The necrotic portion of ileum was resected. In addition, a similar abnormal defect was observed in the left broad ligament. Left round ligament was cut and the abnormal defect was opened. The patient had an uneventful postoperative course and was discharged from our hospital on 15th postoperative day. Hernia of broad ligament of uterus which have abnormal defects bilaterally is very rare, and we report our case with some literature review.

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