Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes

Detalhes bibliográficos
Autor(a) principal: Fernandes, Manuela Graça
Data de Publicação: 2019
Outros Autores: Loureiro, Ana Rita Mateus, Obrist, Maria João Diogo, Prudente, César
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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spelling 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
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv 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
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