Abstract
BackgroundFallopian tube prolapse as a complication of abdominal hysterectomy is a rare occurrence. A case with fallopian tube prolapse was managed by a combined vaginal and laparoscopic approach and description of the operative technique is presented.Case presentationA 39-year-old woman with vaginal prolapse of the fallopian tube after total abdominal hysterectomy presented with an incorrect diagnosis of adenocarcinoma of the vaginal apex. The prolapsed tube and cystic ovary were removed by vaginal and laparoscopic approach. The postoperative course went well.ConclusionsEarly or late fallopian tube prolapse can occur after total abdominal hysterectomy and vaginal hysterectomy. Symptoms consist of persistent blood loss or leukorrhea, dyspareunia and chronic pelvic pain. Vaginal removal of prolapsed tube with laparoscopic surgery may be a suitable treatment. The abdominal or vaginal approach used in surgical correction of prolapsed tubes must be decided in each case according to the patient's individual characteristics.
Highlights
Fallopian tube prolapse as a complication of abdominal hysterectomy is a rare occurrence
Early or late fallopian tube prolapse can occur after total abdominal hysterectomy and vaginal hysterectomy
The abdominal or vaginal approach used in surgical correction of prolapsed tubes must be decided in each case according to the patient's individual characteristics
Summary
Fallopian tube prolapse as a complication of abdominal hysterectomy is a rare occurrence. A case with fallopian tube prolapse was managed by a combined vaginal and laparoscopic approach and description of the operative technique is presented. Case presentation: A 39-year-old woman with vaginal prolapse of the fallopian tube after total abdominal hysterectomy presented with an incorrect diagnosis of adenocarcinoma of the vaginal apex. Fallopian tube prolapse (FTP) is an unusual complication of both abdominal and vaginal hysterectomies. The presence of cellular atypias may result in an unnecessary additional operation. These changes are probably secondary to the severe underlying inflammatory reaction. Postoperative bleeding, a defective surgical technique, and poor physical condition of the patient are the most important predisposing factors for intravaginal prolapse of the fallopian tube [2]. An excisional biopsy constitutes the definitive diagnostic procedure and adequate treatment for this posthysterectomic vaginal complication
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