Holes can be perilous: A rare presentation of intestinal obstruction - Herniation through the broad ligament

A 57-year-old lady presented with symptoms of intestinal obstruction preceded by a 2-day history of lower abdomen pain. Clinically, she had a distended abdomen with tenderness in her lower abdomen. Laboratory investigations were unremarkable. An abdominal radiograph showed a dilated small bowel with...

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Bibliographic Details
Main Authors: Wong, Moses Yung Kuan, Wei Woon Teng, Firdaus Hayati, Chong, Sharon Zi Ching, Tan, Chia Shing, Wong, Yue Yuan, Danesh Thangavelu, Muhammad Danial Md Umar
Format: Article
Language:en
Published: Elsevier 2024
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/44949/1/FULL%20TEXT.pdf
https://eprints.ums.edu.my/id/eprint/44949/
https://doi.org/10.1016/j.radcr.2023.12.067
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Summary:A 57-year-old lady presented with symptoms of intestinal obstruction preceded by a 2-day history of lower abdomen pain. Clinically, she had a distended abdomen with tenderness in her lower abdomen. Laboratory investigations were unremarkable. An abdominal radiograph showed a dilated small bowel with no extensive bowel gas. A computed tomography (CT) scan showed suspected intestinal obstruction secondary to herniation into the right broad ligament. The decision was made to proceed with surgery, and the intraoperative results confirmed the CT results. The literature review is outlined here, and this instance illustrates a surprising discovery.