Systematic review of the clinical features and treatment approaches of uterine broad ligament hernia

LIU Daizhi; ZHU Qing

doi:10.3969/j.issn.1004-3594.2026.05.008

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Medical Journal of the Chinese People Armed Police Forces ›› 2026, Vol. 37 ›› Issue (5) : 412-416. DOI: 10.3969/j.issn.1004-3594.2026.05.008

ORIGINAL ARTICLES

Systematic review of the clinical features and treatment approaches of uterine broad ligament hernia

LIU Daizhi¹, ZHU Qing²

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Abstract

Objective To systematically summarize the clinical manifestations, CT imaging features, treatment approaches, and anatomical characteristics of uterine broad ligament hernia (BLH). Methods A systematic search was conducted in Chinese and English databases to identify case reports of surgically confirmed uterine BLH. Data on demographics, medical history, clinical manifestations, CT findings, surgical discoveries and treatment were extracted and statistically analyzed. Results A total of 77 patients were included, with an average age of (43.11±12.1) years. Analysis of valid samples revealed that 82.70% had a history of pregnancy, and 53.80% had a history of abdominal or pelvic surgery. Clinical manifestations included abdominal pain in 98.68% of patients and vomiting in 77.63%. The preoperative diagnostic rate by CT was 58.33%. Common CT signs were adnexal obstructive points (75%) and uterine rectal displacement (25%). Laparoscopic surgery was performed in 56.1% of the cases, and the application significantly increased after 2010 (P<0.001). Left-sided defects (54.93%) and left-sided hernias (59.15%) were more frequent, the ileum was the most common herniated organ (43.42%), and the Hunt fenestrated type and Cilley type 1 were the most prevalent classifications. Conclusions Uterine BLH predominantly affects middle-aged women with a history of pregnancy or abdominal surgery. Its clinical manifestations are atypical. CT is crucial to preoperative diagnosis, and laparoscopic surgery has become the mainstream surgical method.

Key words

uterine broad ligament hernia / CT imaging / laparoscopic surgery / Hunt classification / Cilley classification

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LIU Daizhi, ZHU Qing. Systematic review of the clinical features and treatment approaches of uterine broad ligament hernia[J]. Medical Journal of the Chinese People Armed Police Forces. 2026, 37(5): 412-416 https://doi.org/10.3969/j.issn.1004-3594.2026.05.008

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