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Case Report
A unique case of small bowel obstruction secondary to internal herniation due to a torted fallopian tube adherent to the sigmoid colon
1 MBBS, Department of Surgery, Toowoomba Hospital, Queensland, Australia
2 MBBS, PhD (Medicine, UNSW), MPH & MHM (UNSW), Lecturer, School of Medicine, Department of Obstetrics and Gynaecology, Toowoomba Hospital, Griffith University, Queensland, Australia
3 MBBS, MS, MMIS, FRACS, Senior Lecturer, Department of Surgery, Toowoomba Hospital, University of Queensland, Queensland, Australia
Address correspondence to:
Ho Nam Choi
Toowoomba Hospital, Pechey Street, Toowoomba, Queensland 4350,
Australia
Message to Corresponding Author
Article ID: 101069Z01CN2019
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How to cite this article
Choi HN, Arafat Y, Lucky T, Dharmawardhane A. A unique case of small bowel obstruction secondary to internal herniation due to a torted fallopian tube adherent to the sigmoid colon. Int J Case Rep Images 2019;10:101069Z01CN2019.ABSTRACT
Introduction: Internal herniation is a rare cause of small bowel obstruction (SBO). An even less common in females, internal herniation can be secondary to abnormalities of the female reproductive organs in the pelvis.
Case Report: A 76-year-old female patient presented with acute SBO which did not improve with initial conservative management. The patient was taken to the operating theatre for a laparoscopy revealing that the SBO was caused secondary to an internal herniation through a defect formed by a torted necrotic left fallopian tube adherent to the adjacent sigmoid colon. The patient was successfully treated with a laparoscopic left salingo-oophorectomy.
Conclusion: Our case describes an unusual mechanism of internal herniation causing SBO in females. This case highlights the importance of considering a broad list of differential diagnoses in causes of SBO, as well as the importance of timely surgical intervention when indicated.
Keywords: Fallopian tube torsion, Internal hernia, Intestinal obstruction, Laparoscopic surgery
SUPPORTING INFORMATION
Author Contributions
Ho Nam Choi - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published
Yasser Arafat - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Tarana Lucky - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Anoj Dharmawardhane - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Ho Nam Choi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
