Abstract
Total abdominal hysterectomy with bilateral salpingoophrectomy was carried out. Gross examination of the uterus revealed hyperplastic endometrium along with a small intramural leiomyoma. The isthmic end of both fallopian tubes showed a grey-white nodules measuring 1.5 cm in diameter [Figure 1] and the lumen was occluded with the distal portion of tubes appearing normal. Both the ovaries showed no significant pathology. Microscopic examination of bilateral nodules at the isthmus of fallopian tubes revealed cystically dilated glands surrounded by hypertrophic muscular layer with complete obliteration of tubal lumen [Figure 2].The glands were lined by ciliated columnar epithelium [Figure 3]. Few of the glands were seen infiltrating the muscular layer. Microscopic examination of uterine corpus showed endometrium displaying features of complex hyperplasia without atypia. Salpingitis isthmica nodosa involves women in the age group of 25- 60 years with average age at diagnosis being 30 years. The etiology Salpingitis isthmica nodosa is a condition of the fallopian tube characterized by nodular thickening of the tunica muscularis of the isthmic portion of the tube enclosing cystically dilated glands leading to complete obliteration of tubal lumen.
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
