Intestinal Obstruction Due to an Internal Hernia through a Defect of the Broad Ligament in an Adult Female Patient: Case Report and Literature Review

Internal hernia is a rare cause of intestinal obstruction. We present a case of 43-year-old woman without any prior surgical history who was referred as a case of obstructed para-umbilical hernia from a satellite clinic. The objective is to highlight the occurrence of such a rare clinical problem and to provide an insight into decision making especially when there is discordance between an obvious pathology and clinical features.

伴阔韧带缺损的腹内小肠疝影像学体会

目的观察伴阔韧带缺损的腹内小肠疝影像学改变,总结其影像学特点,为准确诊断伴阔韧带缺损的腹内小肠疝提供依据。方法回顾性分析3例经手术证实伴阔韧带缺损的腹内小肠疝患者的临床资料及影像学改变。结果CT显示盆腔内绞窄性梗阻的“假瘤”影像改变,孤立扩张的小肠袢向背外侧压迫直肠及乙状结肠,向腹侧压迫子宫,提示绞窄性环可能从前向后通过阔韧带缺损疝出。结论伴阔韧带缺损的腹内小肠疝比较少见,正确认识发病部位的解剖关系及影像学表现,对临床诊断及治疗具有较高的实用价值。