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This type of hernia is very rare, accounting for 7% of all internal hernias and for 0.9% of all small bowel obstructions (SBO).[1],[2] The pathogenesis of the defects on the mesosalpinx is unknown; it can be congenital or secondary to surgery, pelvic inflammatory disease, or delivery trauma. Keywords: Mesosalpinx; Broad ligament; Internal hernia; Small bowel obstruction EN Mesosalpinx Broad ligament Internal hernia Small bowel obstruction 2147 2149 3 07/31/21 20210801 NES 210801 A 33-year-old Caucasian woman presented to our attention with generalized abdominal tenderness, abdominal distension, and vomiting. Internal hernias through the broad ligament defects should be taken into consideration as a differential diagnosis in SBO of mechanical nature, particularly in multiparas women with no previous surgical procedures. [Extracted from the article]