Case Report; Laparoscopy in the Management of Internal Herniation of Adnexa
Case Report; Laparoscopy in the Management of Internal Herniation of Adnexa
Tarih
2018-09-01
Yazarlar
Takmaz, Özgüç
Özbaşlı, Esra
Güngör, Mete
Süreli Yayın başlığı
Süreli Yayın ISSN
Cilt Başlığı
Yayınevi
Acıbadem Mehmet Ali Aydınlar Üniversitesi
Dergi Adı
Özet
Abstract
Broad ligament herniation is defined as protrusion of viscera through the pelvic peritoneum. It accounts 5%
of internal hernias. We report, a 17 year-old woman presenting with a 5cm adnexal anechoic cyst and episodic
pelvic pain who has no remarkable medical history. After 8 hours of follow-up, clinical picture persisted and
evaluation with laparoscopy. It was noted that right adnexa with 5cm cyst was herniated through broad ligament
intraoperatively. Ovarian cyst was excised and hernia was repaired laparoscopically. Clinical findings were resolved
after surgery and patient discharged the day after surgery. In conclusion, adnexal hernia through broad ligament
should be thought in differential diagnosis of female acute pelvic pain. Laparoscopy is an effective procedure for
the diagnosis and treatment of adnexal hernia.Abstract
Broad ligament herniation is defined as protrusion of viscera through the pelvic peritoneum. It accounts 5%
of internal hernias. We report, a 17 year-old woman presenting with a 5cm adnexal anechoic cyst and episodic
pelvic pain who has no remarkable medical history. After 8 hours of follow-up, clinical picture persisted and
evaluation with laparoscopy. It was noted that right adnexa with 5cm cyst was herniated through broad ligament
intraoperatively. Ovarian cyst was excised and hernia was repaired laparoscopically. Clinical findings were resolved
after surgery and patient discharged the day after surgery. In conclusion, adnexal hernia through broad ligament
should be thought in differential diagnosis of female acute pelvic pain. Laparoscopy is an effective procedure for
the diagnosis and treatment of adnexal hernia.