Strangulated Internal Hernia through Broad Ligament Defect Causing Small Bowel Obstruction in a Virgin Abdomen of a Sri Lankan Female: A Rare Case Report

Intestinal obstruction is a common surgical emergency. Internal hernias are rare with broad ligament hernias representing an exceptionally rare subset, especially in patients with virgin abdomen. 43 years old previously well female presented with small bowel obstruction. Imaging indicated bowel obstruction without an obvious cause. Diagnostic Laparotomy revealed an internal hernia through a left broad ligament defect. As the incarcerated bowel was viable it was reduced successfully without post-operative complications. Although rare, broad ligament internal hernias should be considered in females with virgin abdomen presenting with bowel obstruction. Prompt diagnosis and management are crucial to prevent morbidity.