Intestinal obstruction secondary to uterine broad ligament hernia

A 36-year-old woman presented to the emergency department with a history of abdominal pain and vomiting. Abdominopelvic CT scan revealed a small bowel obstruction due to internal hernia with an increased distance between the uterus and the left ovary, suggestive of an internal hernia of the left broad ligament (Figure 1: black arrow, displaced uterus; white arrow, proximal loop; yellow arrow, collapsed efferent loop). Laparoscopic exploration revealed a defect in the left broad ligament of the uterus (Figure 2) with herniation of a 65-cm small bowel segment. After releasing the herniated content, the defect was closed with slowly-absorbable 2−0 continuous barbed suture.

Figure 1

Figure 2