Baqiyatallah University of Medical Sciences Hospital Practices and Research 2476-390X 3 3 2018 07 01 Laparoscopic Management of Strangulated Broad Ligament Hernia 104 106 60547 10.15171/hpr.2018.22 EN Tanvi Khetan University College London, London, UK Abdulzahra Hussain General Surgery Department, Doncaster Royal Infirmary, Doncaster and Bassetlaw Teaching Hospitals, Doncaster, UK 0000-0001-9956-0291 Ihsan Al-Shoek General Surgery Department, Frimley Park Hospitals, Surrey, UK Shamsi EL-Hasani General Surgery Department, Kings College Hospitals, PRUH, London, UK Journal Article 2018 01 06 <strong>Introduction:</strong> Broad ligament hernia was first reported post-autopsy by Quain in 1861. In a 1995 review article, only 61 cases had ever been reported. This paper presents a case report of broad ligament hernia and explores the literature surrounding this topic.<br /> <strong>Case Presentation:</strong> The patient presented with no significant past medical history, acute lower abdominal pain (several hours), nausea, and vomiting. Clinical examination showed a heart rate of 85 beats per minute; normal temperature, blood pressure, and respiratory rate; and a mildly distended abdomen with tenderness across the right lower quadrant. A plain abdominal X-ray showed dilated small bowel loops, and a blood test showed leukocytosis. Urgent diagnostic laparoscopy showed a broad ligament strangulated hernia with small bowel infarction. Reduction of the small bowel, resection, and side-side anastomosis were performed. The patient had an uneventful recovery, and follow up reported no postoperative complications.<br /> <strong>Conclusion:</strong> Laparoscopic management of small bowel obstruction due to broad ligament internal hernia is a safe and effective option. https://www.jhpr.ir/article_60547_cb9c35aa6be56483e952edd88c5d3153.pdf