We conducted a retrospective study to evaluate the safety of non‐obstetric surgery during pregnancy by studying 106 pregnant women who underwent non‐obstetric surgery at a regional Australian hospital over a 10‐year period. The study showed that maternal and foetal outcomes were comparable to that of the general population. Subgroup analysis did not demonstrate any statistically significant differences between groups, except for an increased rate of delivery by caesarean section in pregnant women who underwent laparotomy compared to those who underwent laparoscopy.

Introduction: Internal herniation is a rare cause of small bowel obstruction (SBO). An even less common in females, internal herniation can be secondary to abnormalities of the female reproductive organs in the pelvis. Case Report: A 76-year-old female patient presented with acute SBO which did not improve with initial conservative management. The patient was taken to the operating theatre for a laparoscopy revealing that the SBO was caused secondary to an internal herniation through a defect formed by a torted necrotic left fallopian tube adherent to the adjacent sigmoid colon. The patient was successfully treated with a laparoscopic left salingo-oophorectomy. Conclusion: Our case describes an unusual mechanism of internal herniation causing SBO in females. This case highlights the importance of considering a broad list of differential diagnoses in causes of SBO, as well as the importance of timely surgical intervention when indicated.