Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951 |
Resumo: | 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. |
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Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and OutcomesOclusão do Intestino Delgado por Hérnia do Ligamento Largo do Útero: Três Casos Clínicos, Tratamento e ResultadosBroad LigamentHerniaIntestinal ObstructionHérniaLigamento LargoObstrução IntestinalInternal 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.Ordem dos Médicos2019-03-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentimage/jpegimage/jpegimage/jpegimage/jpegapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.oasis.opendocument.textimage/jpegapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951oai:ojs.www.actamedicaportuguesa.com:article/10951Acta Médica Portuguesa; Vol. 32 No. 3 (2019): March; 240-243Acta Médica Portuguesa; Vol. 32 N.º 3 (2019): Março; 240-2431646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/5598https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10466https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10467https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10468https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10469https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10470https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10501https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10502https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10503https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10524https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10581https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10582https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10597https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/11080Direitos de Autor (c) 2019 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessFernandes, Manuela GraçaLoureiro, Ana Rita MateusObrist, Maria João DiogoPrudente, César2022-12-20T11:06:07Zoai:ojs.www.actamedicaportuguesa.com:article/10951Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:58.086752Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes Oclusão do Intestino Delgado por Hérnia do Ligamento Largo do Útero: Três Casos Clínicos, Tratamento e Resultados |
title |
Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes |
spellingShingle |
Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes Fernandes, Manuela Graça Broad Ligament Hernia Intestinal Obstruction Hérnia Ligamento Largo Obstrução Intestinal |
title_short |
Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes |
title_full |
Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes |
title_fullStr |
Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes |
title_full_unstemmed |
Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes |
title_sort |
Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes |
author |
Fernandes, Manuela Graça |
author_facet |
Fernandes, Manuela Graça Loureiro, Ana Rita Mateus Obrist, Maria João Diogo Prudente, César |
author_role |
author |
author2 |
Loureiro, Ana Rita Mateus Obrist, Maria João Diogo Prudente, César |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Fernandes, Manuela Graça Loureiro, Ana Rita Mateus Obrist, Maria João Diogo Prudente, César |
dc.subject.por.fl_str_mv |
Broad Ligament Hernia Intestinal Obstruction Hérnia Ligamento Largo Obstrução Intestinal |
topic |
Broad Ligament Hernia Intestinal Obstruction Hérnia Ligamento Largo Obstrução Intestinal |
description |
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. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-03-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951 oai:ojs.www.actamedicaportuguesa.com:article/10951 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/10951 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/5598 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10466 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10467 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10468 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10469 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10470 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10501 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10502 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10503 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10524 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10581 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10582 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/10597 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10951/11080 |
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Direitos de Autor (c) 2019 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2019 Acta Médica Portuguesa |
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openAccess |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 32 No. 3 (2019): March; 240-243 Acta Médica Portuguesa; Vol. 32 N.º 3 (2019): Março; 240-243 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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