Abstract
IntroductionProlapse of the fallopian tube after hysterectomy is a rare but known complication. Cases of prolapse of the fallopian tube through the vaginal vault have been reported after abdominal, vaginal or laparoscopic hysterectomies. This is the first case report to the best of our knowledge on the prolapse of a fallopian tube through an abdominal wound after caesarean section.Case presentationWe report a case of the prolapse of the fimbrial end of a fallopian tube through an abdominal scar after caesarean section mimicking scar endometriosis. A 24-year-old primipara South Asian woman of Punjabi ethnicity presented to our institute with a fleshy mass protruding through her abdominal scar and bleeding from the mass during menstruation for the past 5 months. She underwent a caesarean section 6 months earlier for breech presentation. Her history revealed she had wound dehiscence on the sixth postoperative day. The major portion of her wound healed in 1 month leaving a 2 cm area in the middle of her vertical scar. An abdominal examination revealed a 2×2 cm fleshy mass protruding through the middle part of her infraumbilical abdominal scar. At the time of the surgery we found that the fimbrial end of her left fallopian tube was protruding through her abdominal scar.ConclusionAwareness of this complication may prevent improper management of wound dehiscence and such complication causing prolonged agony to the patient.
Highlights
Prolapse of the fallopian tube after hysterectomy is a rare but known complication
We report a case of prolapsed fimbrial end of the fallopian tube through an abdominal scar after caesarean section which mimicked scar endometriosis and is very unusual
On per vaginal examination her uterus seemed attached to the anterior abdominal wall at the scar site and with cervical movement the mass was getting retracted into her abdomen
Summary
Prolapse of the fallopian tube after hysterectomy is a rare but known complication. Cases of prolapse of the fallopian tube through the vaginal vault have been reported after abdominal, vaginal or laparoscopic hysterectomies [1,2,3]. We report a case of prolapsed fimbrial end of the fallopian tube through an abdominal scar after caesarean section which mimicked scar endometriosis and is very unusual. Case presentation A 24-year-old South Asian woman of Punjabi ethnicity presented with fleshy mass protruding through midline vertical abdominal scar and bleeding from the mass during menstruation for the past 5 months She was primigravida; she underwent a caesarean section 6 months earlier at term gestation for breech presentation in a local hospital. On per vaginal examination her uterus seemed attached to the anterior abdominal wall at the scar site and with cervical movement the mass was getting retracted into her abdomen With her history of menstruation through the abdominal wound a provisional diagnosis of scar endometriosis/uterocutaneous fistula was made and ultrasonography (USG) and fistulogram were suggested. She was followed up monthly for 3 months and had no complaints
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
