Acute abdomen due to falope ring migration after laparoscopic tubal ligation

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.