Acute abdomen due to falope ring migration after laparoscopic tubal ligation
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20223512Keywords:
Falope ring, Abdominal pain, Tubal ligation, Computed tomography scanAbstract
Falope ring migration has not been reported to produce signs and symptoms suggestive of abdominal or pelvic pathologies. Clinical diagnosis is virtually impossible, and radiological investigations appear imminent to rule out common pathologies. A 40-year-old woman developed severe abdominal pain almost 17 years after laparoscopic tubal ligation with Falope ring. Contrast-enhanced computed tomographic (CECT) scan of the abdomen and pelvis revealed a 3.1×2.6 cm lesion in the inframesocolic compartment of mesentery. Patient was conservatively managed with a two-week course of antibiotics and analgesics for the next seven days following which she improved symptomatically. The patient was contacted after six months of index hospitalization, and she was not willing for surgery as she did not develop symptoms during those six months. This presented patient indicates the possibility of delayed Falope ring migration and it may lead to an abdominal pathology which can masquerade several clinical problems.
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References
Hertz JB. Laparoscopic sterilization with the Falope-ring technique. Acta Obstet Gynecol Scand. 1982;61(1):13-5.
Hasan A, Evgenikos N, Daniel T, Gatongi D. Filshie clip migration with recurrent perianal sepsis and low fistula in ano formation. BJOG. 2005;112(11):1581.
Daucher JA, Weber AM. Chronic abdominal pain after laparoscopic sterilization clip placement. Obstet Gynecol. 2006;108(6):1540-3.
Yellamareddy GS, Yadav Y, Narreddy S, Ahluwalia A. 'Early extrusion of bilateral Filshie clips after laparoscopic sterilisation' case report. BJOG. 2005;112(11):1584.
Twigg J, Evans J. Spontaneous tubal re-canalisation: a late complication of Falope ring sterilisation. J Fam Plann Reprod Health Care. 2001;27(3):156-7.
Saha A, Clausen MG. Complex inflammatory abdominal mass: a late complication of tubal clip sterilisation? J Fam Plann Reprod Health Care. 2006;32(3):186-7.
Tan BL, Chong C, Tay EH. Migrating Filshie clip. Aust N Z J Obstet Gynaecol. 2004;44(6):583-4.
Poo ZX, Ng G, Siraj SHM. An Unusual Case of a Filshie Clip Presenting as a Bladder Wall Abscess 12 Years After Sterilization. Am J Case Rep. 2020;21:e923661.
Kovacs GT, Krins AJ. Female sterilisations with Filshie clips: what is the risk failure? A retrospective survey of 30,000 applications. J Fam Plann Reprod Health Care. 2002;28(1):34-5.
Yoon I, Poliakoff SR. Laparoscopic tubal ligation. A follow-up report on the Yoon falope ring methodology. J Reprod Med. 1979;23(2):76-80.
Filshie GM, Casey D, Pogmore JR, Dutton AG, Symonds EM, Peake AB. The titanium/silicone rubber clip for female sterilization. Br J Obstet Gynaecol. 1981;88(6):655-62.