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X-ray of the abdomen.. a: Upright position.. b: Seated position.
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X-ray of the abdomen showed small bowel dilation (Fig. 1).
abdominal CT.. a: A closed loop with the broad ligament of the uterus as the herniaorifice.. b: A small bowel dilation in the pelvis (arrowheads).. The uterus was slightly shifted ventrally and the recto-sigmoid shifted dorso-laterally (arrows).
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No evidence of intestinal ischemia was observed (Fig. 2).
Position of the ports.
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The surgery was done using four ports, including the navel, upper right abdomen, lower right abdomen, and lower left abdomen (Fig. 3).
Pictures on surgery.. a: The invaginating small bowel was observed in the left broad ligament of the uterus.. b: Using an ultrasonic coagulation device, an incision was made on the broad ligament of the uterus to dilate the hernia orifice.. c: The invaginating small intestine was released by traction.. d: The hernia orifice was closed with a continuous suture using absorbent thread.
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The hernia orifice was closed with a continuous suture using absorbent thread (Fig. 4).