AbstractWe report a case of a woman with chronic right-sided pelvic pain with an unusual combination of broad liga-ment defects and associated terminal ileum and caecum her-niation. Reduction of the hernia and closure of the defects at laparoscopy resulted in resolution of the patient’s painful symptoms. Review of the literature suggests that, although rare, such defects should be considered in the differen-tial diagnosis of persistent pelvic pain. Where found incidentally, broad ligament defects should be repaired in or-der to prevent sinister complications such as bowel obstruc-tion and strangulation