Post salpingectomy intraluminal endometriosis in a premenopausal lady - an incidental finding often paid less attention to
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20210768Keywords:
Post salpingectomy, Endometriosis, Tubal ligation, HistopathologyAbstract
Endometriosis of the fallopian tube is often incidentally picked up in hysterectomy specimens that are sent for histopathological examination for other obvious pathological conditions. Post-salpingectomy endometriosis is one such entity that is known to occur in the tip of the proximal stump of the fallopian tube years after tubal ligation. As mere visualization of the endometriotic lesions is inadequate for an accurate diagnosis, histopathologic analysis of the biopsy samples becomes mandatory for confirmation. We report a case of post salpingectomy endometriosis which was incidentally discovered in a peri menopausal lady who was operated for multiple fibroids of the uterus. This case not only highlights an entity which is challenging to visualize radiologically and suspect clinically, but is also underrecognized, as very little attention is given to the fallopian tube during routine grossing.
References
Ramaswamy A.S., Manjunatha H.K. Post-salpingectomy endometriosis. J Lab Physician 2009;1(2):84-5.
Rezvani M, Shaaban AM. Fallopian tube disease in the nonpregnant patient. Radiographics 2011;31(2):527-48.
Tandon RK, Pandya SP, Darad D, Chugh A, Bhuva K. Laparoscopic scar – laparoscopic tubal ligation: A rare case report. J Clin Diagn Res 2012;6(4):707-8.
Hill CJ, Fakhreldin M, Maclean A, Dobson L, Nancarrow L, Bradfield A et al. Endometriosis and the Fallopian Tubes: Theories of Origin and Clinical Implications. J Clin Med 2020;9(6):1905.
Xue RH, Li J, Huang Z, Li ZZ, Chen L, Lin Q et al. Is tubal endometriosis an asymmetric disease? A 17-year retrospective study. Arch Gynecol Obstet 2020;301(3):721-7.
Chakrabarti I., Ghosh N. Post-salpingectomy endometriosis: An under-recognized entity. J Midlife Heal 2010;1(2):91-2.
Xia W, Zhang D, Ouyang J, Liang Y, Zhang H, Huang Z et al. Effects of pelvic endometriosis and adenomyosis on ciliary beat frequency and muscular contractions in the human fallopian tube. Reprod Biol Endocrinol 2018;16(1):48.
Garcia-Velasco JA. Fallopian tube endometriosis: clinical implications. Fertil Steril 2020;114(5): 966.
Stock RJ. Histopathologic changes in fallopian tubes subsequent to sterilization procedures. Int J Gynecol Pathol 1983;2:13-27.
Magdy N, El-Bahrawy M. Fallopian tube: Its role in infertility and gynecological oncology. World J Obstet Gynecol 2014;3(2):35-41.