Master Allen Syndrome a Case Report

G. Zarbo¹, O. Valenti¹, M.C. Teodoro¹, C. Pafumi. M. Attard^1, and M.A. Palumbo¹

¹Department of Obstetrics and Gynecology University of Catania – Italy, American University of Malta

Cite this paper

G. Zarbo, O. Valenti, M.C. Teodoro, C. Pafumi. M. Attard and M.A. Palumbo. Master Allen Syndrome a Case Report. American Journal of Medical Case Reports. 2013; 1(1):6-8. doi: 10.12691/AJMCR-1-1-3

Abstract

We report a case of 40-year-old Caucasian woman gravida 3, para 2, with severe acute abdominal pain, bilious vomiting, closed bowel feces and gas for the last 24 hours. Plain abdominal radiographs showed multiple loops of dilated small bowel with air fluid levels. The patient underwent an exploratory laparotomy, which revealed two defects of the left broad ligament. A 160-cm length of the ileum had been herniated into the outer defect. As a gangrenous change was recognized in the incarcerated bowel, it was resected and an end-to-end anastomosis was performed, while the defects of the broad ligament were also closed. The postoperative course was uneventful. Six months after surgery, the patient does not report dysmenorrhea and dyspareunia, also she has a few symptoms of short bowel.

Keywords

pain, broad ligament, abdominal herniation, anastomosis, bowel obstruction, incarcerated hernia, bowel resection, dysmenorrhea, dyspareunia

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Laparoscopic Management of Small Bowel Incarceration Caused by a Broad Ligament Defect: Report of a Case Satoru Takayama, Takahisa Hirokawa, Masaki Sakamoto, Hiroki Takahashi, Minoru Yamamoto, Mikinori Sato, and Tadao Manabe Surg Today (2007) 37:437-439.
[2]	Small bowel incarceration in a broad ligament defect. Guillem P, Cordonnier C, Bounoua F, Aams P, Duval G. Surg Endosc.2003; 17(1):161-162.
[3]	Demir H, Scoccia B. Internal herniation of adnexa through a defect of the broad ligament: case report and literature review. J Minim Invasive Gynecol. 2010;17: 110-112.
[4]	Incarceration of small bowel herniation through a defect of the broad ligament of the uterus. Report of a case. Nozoe T, Anai H. Surg Today. 2002; 32(9):834-835.
[5]	Allen WM, Masters WH (1955) Traumatic laceration of uterine support; the clinical syndrome and the operative treatment. Am J Obstet Gynecol 70:500-513.
[6]	Glezerman. The Allen Masters syndrome revisited. successful treatment by laparoscopy . J. Gynaecol. Obstet., 1984, 22: 325-330.
[7]	Quain (1861) Case of internal strangulation of a large portion of the ileum. Trans Pathol Soc London 12:103-104.
[8]	Broad Ligament Hernia-Associated Bowel Obstruction G. G. Varela, MD, A. Lo´pez-Loredo, MD, J. F. Garcı´a Leo´n, MDJSLS, Journal of the Society of Laparoendoscopic Surgeons (2007)11:127-130.
[9]	Herniation through the broad ligament Shahzeer Karmali MD, Robert K. Zurawin MD, Vadim Sherman MD. CMAJ 2009.
[10]	Cilley R, Poterack K, Lemmer J, Dafoe D. Defects of the broad ligament of the uterus. Am J Gastroenterol 1986;81:389-91.
[11]	Laparoscopic treatment of incarcerated hernia through right broad ligament in patients with bilateral parametrium defects. V. Leone, D. Misuri, U. Faggi, A. Giovane, C. Fazio, S. Cardini. G Chir Vol. 30 - n. 4 - pp. 141-143 Aprile 2009.