G. Zarbo¹, O. Valenti¹, M.C. Teodoro¹, C. Pafumi. M. Attard^1,, M.A. Palumbo¹

We report a case of 40-year-old Caucasian woman gravida 3, para 2, with severe acute abdominal pain, bilious vomiting, closed bowel feces and gas for the last 24 hours. Plain abdominal radiographs showed multiple loops of dilated small bowel with air fluid levels. The patient underwent an exploratory laparotomy, which revealed two defects of the left broad ligament. A 160-cm length of the ileum had been herniated into the outer defect. As a gangrenous change was recognized in the incarcerated bowel, it was resected and an end-to-end anastomosis was performed, while the defects of the broad ligament were also closed. The postoperative course was uneventful. Six months after surgery, the patient does not report dysmenorrhea and dyspareunia, also she has a few symptoms of short bowel.

pain, broad ligament, abdominal herniation, anastomosis, bowel obstruction, incarcerated hernia, bowel resection, dysmenorrhea, dyspareunia