{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T11:13:57Z","timestamp":1780917237410,"version":"3.54.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"vor","delay-in-days":158,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100023621","name":"University of Illinois College of Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100023621","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Internal hernias are an uncommon cause of small bowel obstruction (SBO), accounting for approximately 1% of cases. Among these, broad ligament hernias represent a rare subtype, comprising approximately 4% of internal hernias. Despite their rarity, they carry a significant risk of bowel strangulation and ischemia, necessitating prompt recognition and surgical intervention. We report the case of a 35\u2010year\u2010old G5P3023 woman with no prior abdominal surgeries who presented with a 2\u2010day history of sharp abdominal pain, nausea, and vomiting. Initial imaging findings were suggestive of a tubo\u2010ovarian abscess (TOA); the patient was managed with broad\u2010spectrum antibiotics and subsequently underwent an unsuccessful image\u2010guided drainage attempt. Due to clinical deterioration, a diagnostic laparoscopy was performed, revealing a broad ligament hernia with incarcerated small bowel. The procedure was converted to an exploratory laparotomy, during which the ischemic ileum was resected and a primary was anastomosis performed. The broad ligament defect was subsequently repaired. This case highlights the diagnostic challenges associated with internal hernias, particularly when presentation mimics gynecologic pathology. Failure to include internal hernias in the differential diagnosis may delay appropriate intervention. Early recognition based on clinical and radiologic findings is critical to improving outcomes and preventing bowel compromise.<\/jats:p>","DOI":"10.1155\/crog\/3055029","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T10:36:32Z","timestamp":1780914992000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Broad Ligament Hernia Causing Small Bowel Obstruction: When Gynecologic Symptoms Conceal Surgical Emergencies\u2014A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7067-9653","authenticated-orcid":false,"given":"Tiffany","family":"Chang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2267-6485","authenticated-orcid":false,"given":"Bella","family":"Swan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5241-1993","authenticated-orcid":false,"given":"Antoun Al","family":"Khabbaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.05.0644"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.183.2.1830397"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)43293-7"},{"key":"e_1_2_10_4_2","first-page":"389","article-title":"Defects of the Broad Ligament of the Uterus","volume":"81","author":"Cilley R.","year":"1986","journal-title":"American Journal of Gastroenterology"},{"key":"e_1_2_10_5_2","volume-title":"Tubo-Ovarian Abscess","author":"Weerakkody Y.","year":"2025"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.23750\/abm.v90i5-S.8344"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/3540794"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diii.2012.03.016"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1148\/rg.2016150113"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-010-0660-5"},{"key":"e_1_2_10_11_2","volume-title":"In Textbook of Gastrointestinal Radiology E-Book","author":"Levine M. 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