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Case Reports in Surgery
Volume 2017, Article ID 9819270, 3 pages
https://doi.org/10.1155/2017/9819270
Case Report

Small Bowel Obstruction Caused by Internal Hernia through a Peritoneal Defect of the Pouch of Douglas: Report of a Case and Review of the Literature

Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea

Correspondence should be addressed to Pyong Wha Choi; moc.liamg@0311ecaepiohc

Received 12 December 2016; Accepted 6 June 2017; Published 5 July 2017

Academic Editor: Robert Stein

Copyright © 2017 Pyong Wha Choi. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Herniation of small bowel through the peritoneal defect of the Pouch of Douglas is extremely rare type of internal hernia, and this type of internal hernia has been described as an entity of perineal hernia. Here, we describe a case of a 26-year-old female without history of abdominal surgery presenting with incarcerated small bowel hernia through a peritoneal defect of the Pouch of Douglas. She visited an emergency department presenting with abdominal pain and distension. Without improvement symptom by conservative management, an operation was performed. During the operation, the distal ileum had been herniated through a peritoneal defect of the Pouch of Douglas, and there were no specific findings on gynecological examination. Reduction of the herniated bowel and primary repair of the peritoneal defect were performed. The case represents a very rare type of internal hernia and provides published cases of hernia through a peritoneal defect of the Pouch of Douglas.