Closed loop ileus caused by a defect in the broad ligament: A case report

Figure 1 computer tomography scan of the abdomen. A: Small bowel distension is observed; B: The dilated small bowel indicates an obstruction; C: The site of change of intestinal caliber is located in the right lower quadrant; D: The cause of obstruction cannot be identified.

Figure 2 Intraoperative findings. A: Internal hernia is identified: small bowel incarceration through a defect in the right broad ligament of the uterus (arrow); B: Overview on the anatomy: The defect is caudal to the salpinx and round ligament of the uterus. According to the classification by Cilley et al[13], this classifies as a type I hernia; C: Strangulation marks are indicated by arrows and between which hyperemic bowel can be observed; D: Defect closure with a running suture.