{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:54:57Z","timestamp":1777877697493,"version":"3.51.4"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Internal herniation through the broad ligament is an exceptionally rare cause of small bowel obstruction (SBO), particularly in pregnant patients, and is often misdiagnosed due to non-specific clinical manifestations. This is a 35-year-old woman at 9\u00a0weeks\u2019 gestation, medically free, presented to the emergency department with abdominal pain associated with persistent vomiting. Despite conservative management, the patient was deteriorating. Therefore, a patient-shared decision for diagnostic laparoscopy was performed. Intraoperatively, a reduced viable loop of distal ileum was herniated through a defect in the right broad ligament. The postoperative course was uneventful. The persistence of clinical deterioration despite conservative therapy should prompt urgent surgical evaluation, and when indicated, laparoscopy is considered safe in pregnancy and provides diagnostic and definitive management. This case emphasizes that signs of SBO should have a low threshold for early multidisciplinary evaluation, and timely diagnostic laparoscopy is crucial to prevent delayed diagnosis and adverse maternal-fetal outcomes.<\/jats:p>","DOI":"10.1093\/jscr\/rjag335","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T12:49:29Z","timestamp":1776430169000},"source":"Crossref","is-referenced-by-count":0,"title":["Broad ligament defect internal hernia: a rare cause of bowel obstruction in pregnancy"],"prefix":"10.1093","volume":"2026","author":[{"given":"Bader K","family":"AlQusaibi","sequence":"first","affiliation":[{"name":"General Surgery Department, Security Forces Hospital , PO Box 9003, King Fahad Suburb, 95th Street, Dammam 31413 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9466-5630","authenticated-orcid":false,"given":"Omar A","family":"Bamalan","sequence":"additional","affiliation":[{"name":"General Surgery Department, Security Forces Hospital , PO Box 9003, King Fahad Suburb, 95th Street, Dammam 31413 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuaman A","family":"Danawar","sequence":"additional","affiliation":[{"name":"General Surgery Department, Security Forces Hospital , PO Box 9003, King Fahad Suburb, 95th Street, Dammam 31413 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wael A","family":"Zaki","sequence":"additional","affiliation":[{"name":"General Surgery Department, Security Forces Hospital , PO Box 9003, King Fahad Suburb, 95th Street, Dammam 31413 ,","place":["Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"2026043018590671400_ref1","doi-asserted-by":"publisher","first-page":"rjaa487","DOI":"10.1093\/jscr\/rjaa487","article-title":"Strangulated internal hernia due to defect in broad ligament: a case report","volume":"2020","author":"Reyes","year":"2020","journal-title":"J Surg Case Rep"},{"key":"2026043018590671400_ref2","doi-asserted-by":"publisher","first-page":"e00310","DOI":"10.1016\/j.crwh.2021.e00310","article-title":"Strangulated small-bowel internal hernia through a defect in the broad ligament of the uterus presenting as acute intestinal obstruction: a case report","volume":"30","author":"Arif","year":"2021","journal-title":"Case Rep Womens Health"},{"key":"2026043018590671400_ref3","article-title":"Strangulated internal hernia through a defect of the broad ligament: a case report of laparoscopic surgery","volume":"39","author":"Song","year":"2023","journal-title":"Ann Coloproctol"},{"key":"2026043018590671400_ref4","doi-asserted-by":"publisher","first-page":"e45264","DOI":"10.1097\/MD.0000000000045264","article-title":"Broad ligament defect causing internal hernia: a case report and literature review","volume":"104","author":"He","year":"2025","journal-title":"Medicine (Baltimore)"},{"key":"2026043018590671400_ref5","doi-asserted-by":"publisher","first-page":"e210","DOI":"10.1097\/AOG.0000000000002355","article-title":"Committee opinion No. 723: guidelines for diagnostic imaging during pregnancy and lactation","volume":"130","author":"American College of Obstetricians and Gynecologists","year":"2017","journal-title":"Obstet Gynecol"},{"key":"2026043018590671400_ref6","article-title":"ACR\u2013SPR practice parameter for imaging pregnant or potentially pregnant adolescents and women with ionizing radiation","volume-title":"Sections (III,IV,V), resolution (31)","author":"American College of Radiology; 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