Early Small Bowel Obstruction after Lap Appendectomy: A Surgical Dilemma (A Curious Cause)

Internal herniation via mesosalpinx is one of the rare causes of intestinal obstruction. The defect could be congenital or acquired with per op acquisition of defect during laparoscopic procedure seen in few cases. This is a case report of 33 year old lady who with history of LSCS in past was operated for acute appendicitis& presented with signs of intestinal obstruction on post op day 3. The CT findings were inconclusive as to the cause of intestinal obstruction. Per op internal herniation through a defect in mesosalpinx was noted and repaired