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

Yuto Igarashi1, Katsunori Miyake1, Naoko Isogai1

  • 1Department of Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan.

International Journal of Surgery Case Reports
|September 3, 2021
PubMed
Summary

This case report details a rare instance of sigmoid colon strangulation caused by bilateral fallopian tubes. Laparoscopic surgery was successfully used to treat this unusual cause of large bowel obstruction.

Keywords:
Case reportFallopian tubesLaparoscopic surgeryLarge bowel obstructionSigmoid colon strangulation

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Gynecology

Background:

  • Sigmoid colon strangulation by bilateral fallopian tubes is an exceptionally rare cause of large bowel obstruction.
  • Endometriosis is a potential underlying etiology for such adhesions.

Purpose of the Study:

  • To report a unique case of sigmoid colon strangulation.
  • To highlight the successful laparoscopic management of this rare condition.

Main Methods:

  • A 54-year-old woman with a history of endometriosis presented with abdominal pain.
  • Computed tomography (CT) scan revealed a closed-loop obstruction.
  • Laparoscopic exploration identified and dissected adhesions involving the fallopian tubes strangulating the sigmoid colon.

Main Results:

  • Successful laparoscopic dissection of bilateral fallopian tube adhesions.
  • Resolution of sigmoid colon strangulation.
  • Uneventful postoperative recovery without complications.

Conclusions:

  • Bilateral fallopian tube adhesions can cause large bowel obstruction.
  • Laparoscopic surgery is a viable and effective treatment for sigmoid colon strangulation.
  • Early laparoscopic intervention can prevent complications like necrosis or perforation.