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Cecal Volvulus Through an Internal Hernia Created by an Elongated Fallopian Tube
Maianh Tran1, Justin K Song2, John Popovich1
1General Surgery, Mercy Medical Center, Des Moines, USA.
Cureus
|March 20, 2023
Summary
Internal hernias are rare abdominal defects. A rare case involved a fallopian tube causing cecal volvulus and bowel obstruction, requiring emergency surgery.
Area of Science:
- Gastroenterology
- Surgical Anatomy
- Gynecology
Background:
- Internal hernias, though uncommon, present significant risks including bowel ischemia and necrosis.
- Prompt surgical intervention is crucial for managing internal hernias to prevent mortality.
Observation:
- A rare case of internal hernia involved the fallopian tube creating an aperture.
- A 78-year-old female presented with symptoms of large bowel obstruction.
Findings:
- Computerized tomography revealed cecal volvulus secondary to the cecum herniating through a loop formed by the fallopian tube.
- Intraoperative findings confirmed the cecal herniation and ischemia of both the cecum and fallopian tube, necessitating resection and anastomosis.
Implications:
- Fallopian tube internal hernias are a rare cause of intestinal obstruction in females.
- This condition must be considered in the differential diagnosis of bowel obstruction to ensure timely surgical management and improve patient outcomes.
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