Internal Herniation of an Ovarian Endometrioma through the Fenestra of the Broad Ligament: Case Report
article
OA: bronze
CC0
Abstract
Internal herniation through a fenestra of the broad ligament is very rare, and constitutes 4-7% of all internal herniations. Since common hernia content is small or large intestine, herniation of an ovary through a fenestra of the broad ligament is extremely rare; only 6 cases have been reported. We experienced a case of a broad ligament hernia of a left ovarian endometrioma. A 38 year-old woman was referred to our hospital for evaluation of infertility and an ovarian cyst. Ultrasonography and MRI imaged a lower abdominal cyst, 9.5cm in diameter, at vesicouterine pouch. Laparoscopy revealed that the left ovary passed through the defect of the left broad ligament, and an endometrioma was present in the vesicouterine pouch. The right adnexa and right broad ligament were normal. The left ovarian cyst was enucleated and the dislocation of the left ovary was corrected. The fenestra was in the peritoneal defect of the endometriotic lesion, and it was difficult to close the fenestra by suturing due to tension. After electrocoagulation, a tissue-sealing sheet was placed on both sides of the fenestra. Compared to an intestinal hernia through a fenestra of the broad ligament, an ovarian hernia is common in younger women, strongly associated with endometriosis, and is right side dominant; however, it is less associated with parity. A fenestra of the broad ligament is a potential cause of herniation; it is necessary to close the defect if it is observed or produced during surgery.
My notes (saved in your browser only)
Condition tags
Citation neighborhood (sparse)
Too few in-corpus citations on either side for a chart; here are the lists.
Cites (4)
- Internal Herniation of Adnexa Through a Defect of the Broad Ligament: Case Report and Literature Review 2010
- Symptomatic internal hernia of the broad ligament: A complication of electrocoagulation therapy of endometriosis 1989
- Broad ligament hernia-associated bowel obstruction. 2007
- Laparoscopic Treatment of Acute Ovarian Incarceration into the Pelvic Peritoneal Sac 2009
References (14)
- Broad ligament hernia-associated bowel obstruction. via openalex
- Internal Herniation of Adnexa Through a Defect of the Broad Ligament: Case Report and Literature Review via openalex
- Laparoscopic Treatment of Acute Ovarian Incarceration into the Pelvic Peritoneal Sac via openalex
- Symptomatic internal hernia of the broad ligament: A complication of electrocoagulation therapy of endometriosis via openalex
- W2414370712 via openalex
- W3158070244 via openalex
- doi:10.1016/j.jmig.2009.10.006 via openalex
- doi:10.1093/oxfordjournals.aje.a009347 via openalex
- doi:10.1007/s00464-002-4228-z via openalex
- doi:10.2214/ajr.05.0644 via openalex
- doi:10.1007/s11605-007-0086-2 via openalex
- W1614288609 via openalex
- doi:10.1001/archsurg.1932.01160230092008 via openalex
- W2336908973 via openalex
Source provenance
- openalex
- last seen: 2026-05-10T10:22:40.763402+00:00
License: CC0
· commercial use OK