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Laparoscopy in the Management of Internal Herniation of the Adnexa Running Title: Adnexal Hernia
Özgüç Takmaz1, Esra Özbaşlı2, Mete Güngör2
1Acibadem Maslak Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey
2Acıbadem University, Department of Obstetrics and Gynecology, Istanbul, Turkey
Keywords: ovarian hernia, broad ligament hernia, adnexial hernia, female acute abdominal pain, laparoscopy

Broad ligament herniation is defined as protrusion of viscera through the pelvic peritoneum. It accounts 5% of internal hernias. We report, a 17 year-old woman presenting with a 5cm adnexal anechoic cyst and episodic pelvic pain who has no remarkable medical history. After 8 hours of follow-up, clinical picture persisted and evaluation with laparoscopy. It was noted that right adnexa with 5cm cyst was herniated through broad ligament intraoperatively. Ovarian cyst was excised and hernia was repaired laparoscopically. Clinical findings were resolved after surgery and patient discharged the day after surgery. In conclusion, adnexal hernia through broad ligament should be thought in differential diagnosis of female acute pelvic pain. Laparoscopy is an effective procedure for the diagnosis and treatment of adnexal hernia.