Post hysterectomy fallopian tube prolapse: a rare case

Authors

  • Priya S. Department of Obstetrics and Gynecology, Rajarajeshwari Medical College and Hospital, Bangalore, Karnataka, India
  • Sarojamma C. Department of Obstetrics and Gynecology, Rajarajeshwari Medical College and Hospital, Bangalore, Karnataka, India
  • Sailakshmi M. P. A. Department of Obstetrics and Gynecology, Rajarajeshwari Medical College and Hospital, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20190322

Keywords:

Fallopian tube prolapse, Post-hysterectomy, Vaginal vault

Abstract

Fallopian tube prolapse into the vaginal vault is a very complication of hysterectomy where the adnexa is preserved. The overall occurrence after all routes of hysterectomy is 0.01-0.05%. Several factors have been suggested to contribute to the condition such as vault hematoma, improper closure of vault, early resumption of sexual activity. Due to the misdiagnosis, there is often delay in the diagnosis and its management. The only means of definitive diagnosis is histopathology. A 30-year-old P2l2 presented to us after 3 years of post-hysterectomy with abdominal pain and bleeding pv on and off. On examination prolapsed fallopian tube was found in the vaginal vault on speculum. Biopsy was done in the outside hospital and was confirmed to be the tube. Patient underwent combined laparoscopic and vaginal method. Vaginal excision of the tube was done. Prevention by prophylactic salpingectomy and by suturing the adnexa high up in the pelvis in abdominal hysterectomy.

References

Pozzi M. Hernia of the tube into the vagina at a scar operative vaginal hysterectomy. CR Soc Obstet Gynecol Paediatr Paris. 1902;4:255.

Zutshi V, Aggarwal P, Batra S.Post-hysterectomy fallopian tube prolapsed:Elementary yet enigmatic. J Turkish-German Gnaecol Assoc. 2008;117-9.

Byrne DL Edmonds DK. Prolapse of the fallopian tube following abdominal hysterectomy. J R Soc Med.1989;82:764-5.

Pankeratin AB, Sung YS, Kang JS, Park MH. Fallopian tube prolapsed misdiagnosed as vault granulation tissue :a report of three cases. Pathol Res Pract.2005;201(12):819-2.

Quezada Y, Karram M, Whiteside JL. Case report: Diagnosis and management of peritoneovaginal fistula. J Minimally Invasive Gynecol. 2015;22(1):134-6.

Caceres A, McCarus SD. Fallopian tube prolapse after total laparoscopic hysterectomy. Obstet Gynecol. 2008;112(2):494-5.

Carmichael DE: Prolapse of the fallopian tube into the vaginal vault. Am J Obstet Gynaecol. 1976;125:266-7.

Silverberg SG, Frable WJ. Prolapse of Fallopian tube into vaginal vault after hysterectomy. Arch Pathol. 1974;97(2):100-3.

Fan QB, Liu ZF, Lang JH, Sun DW, Leng JH, Zhu L, et al. Fallopian tube prolapsed following hysterectomy. Chin Med Sci J. 2006;2:20-3.

Wetchler SJ, Hurt WG: A technique for surgical correction fallopian tube. Obstet Gynaecol. 1986,67;747-9.

Downloads

Published

2019-01-25

Issue

Section

Case Reports