Intestinal obstruction caused by a strangulating adnexa: a rare complication of ovarian sparing hysterectomy

Minhem, Mohamad A.; Mohsen, Youssef; Saade, Charbel; Hallal, Ali

doi:10.1136/bcr-2017-223123

Cited by 3 publications

(4 citation statements)

References 14 publications

(5 reference statements)

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“…Five cases have reported bowel obstruction associated with a fallopian tube [8] , [9] , [10] , [11] , [12] , and the first report in the literature was SBO caused by a strangulating ectopic fallopian tube [8] . Three cases uncovered strangulated bowel obstruction due to coiling after hysterectomy and ovarian preservation [9] , [10] , [11] , and one case involved strangulation of the mobile cecum by an elongated fallopian tube [12] . In our case, the etiology of adhesion of fallopian tubes remains unknown, but endometriosis can be accounted for in part.…”

Section: Discussionmentioning

confidence: 99%

Sigmoid colon strangulation caused by bilateral fallopian tubes: A case report

Igarashi

Miyake

Isogai

et al. 2021

International Journal of Surgery Case Reports

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Introduction There are no reports regarding sigmoid colon strangulation caused by bilateral fallopian tubes, which is a rare type of large bowel obstruction. Herein, we report a case of successful laparoscopic treatment of sigmoid colon strangulation. Presentation of case A 54-year-old woman presented to our hospital with intermittent abdominal pain. Her medical history was significant for endometriosis; however, there was no surgical history. The physical examination revealed tenderness over the lower abdomen. CT scan shows closed loop obstruction of sigmoid colon. Exploratory laparoscopy was performed, and a sigmoid colon strangulated by bilateral fallopian tubes was detected. The adhesions consisting of bilateral fallopian tubes were dissected laparoscopically. The patient's postoperative course was uneventful, with no complications. Discussion The most common cause of large bowel obstruction (LBO) is colorectal cancer, including volvulus and diverticulitis. In this case, the adhesion of both the right and left fallopian tubes caused LBO, and it is conceivable that the etiology involved is endometriosis. Few cases have reported bowel obstruction associated with a fallopian tube, and the laparoscopic approach is very rare. In our case, we immediately performed laparoscopic exploration before colon strangulation led to necrosis or perforation. Therefore, we succeeded in releasing the strangulation laparoscopically. Conclusion We report a case of sigmoid colon strangulation that was treated laparoscopically. This approach can be the treatment of choice for sigmoid colon strangulation.

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Section: Discussionmentioning

confidence: 99%

Sigmoid colon strangulation caused by bilateral fallopian tubes: A case report

Igarashi

Miyake

Isogai

et al. 2021

International Journal of Surgery Case Reports

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“…Anatomically, the ovary is suspended by the infundibulopelvic ligament and the fallopian tubes are attached to the broad ligaments [ 3 , 4 ]. Both the fallopian tubes and ovaries are considered part of the uterine adnexa and lie within the contents of the iliac fossa [ 5 ]. Previously, we documented a case of an ovarian cyst compressing the renal vein of a grafted kidney in a young woman, ultimately causing renal vein thrombosis [ 2 ], and others documented intestinal obstruction caused by the fallopian tube [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Both the fallopian tubes and ovaries are considered part of the uterine adnexa and lie within the contents of the iliac fossa [ 5 ]. Previously, we documented a case of an ovarian cyst compressing the renal vein of a grafted kidney in a young woman, ultimately causing renal vein thrombosis [ 2 ], and others documented intestinal obstruction caused by the fallopian tube [ 5 , 6 ]. Such rare but recurrent complications shed light on surgical approaches and female-specific considerations that need to be made intraoperatively.…”

Section: Discussionmentioning

confidence: 99%

Strangulation of intraperitoneal kidney transplant by fallopian tube

Nawabi

Mohammadian

et al. 2021

Journal of Surgical Case Reports

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Renal allograft strangulation is a rare complication following simultaneous kidney pancreas transplant, often causing graft loss. This case report represents the first documented case of a 35-year-old female who developed renal graft strangulation around the left fallopian tube. Our case outlines a new complication that contributes to graft loss concerning iliac fossa anatomy and variations in female patients, as well as surgical considerations that need to be made prior to transplantation. We recommend measurement of the grafted renal vessels within the iliac fossa and respective surroundings structures to allow for the ideal positioning of the grafted organ.

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“…One case reported strangulation of the small bowel by a fallopian tube; however, this involved an ectopic congenital anomaly [17] . Three other case reports demonstrated that hysterectomy without salpingectomy can give the fallopian tube the opportunity to coil upon itself and strangulate the bowel [18] , [19] , [20] . These cases differ from the case described here in that the patient we describe had not undergone a hysterectomy and the proximal end of her left and right fallopian tubes were attached to the uterus in a normal manner.…”

Section: Discussionmentioning

confidence: 99%

Internal hernia with incarceration of the cecum through a loop created by an elongated fallopian tube

Forsythe

Sanchirico

Pfeiffer

2019

Radiology Case Reports

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We describe a case of a 61-year-old female who presented to the emergency department with a 2-week history of severe right and left lower abdominal quadrant abdominal pain that radiated to the back and was accompanied by nausea and vomiting. An initial computed tomography scan with contrast demonstrated unusual loops of small bowel in the left paracentral pelvis. Follow-up computed tomography scans revealed worsening dilation of the cecum. Exploratory laparotomy was indicated and revealed a mobile right mesenteric stalk, which had migrated to the left lower abdominal quadrant and become incarcerated within a loop formed by a 25 cm long left fallopian tube. The distal end of the fallopian tube was firmly adherent to the parietal peritoneum of the left lower quadrant. A right hemicolectomy and a left salpingo-oophorectomy were performed. This case appears to be the first to document the internal herniation of a mobile cecum and right mesenteric stalk through a highly unusual loop created by an elongated left fallopian tube.

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Intestinal obstruction caused by a strangulating adnexa: a rare complication of ovarian sparing hysterectomy

Cited by 3 publications

References 14 publications

Sigmoid colon strangulation caused by bilateral fallopian tubes: A case report

Sigmoid colon strangulation caused by bilateral fallopian tubes: A case report

Strangulation of intraperitoneal kidney transplant by fallopian tube

Internal hernia with incarceration of the cecum through a loop created by an elongated fallopian tube

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