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Chung CD. Spontaneous Resolution of Prolapsed Fallopian Tube After Outpatient Loop Electrosurgical Excision Under Local Anaesthesia. JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2024; 46:101993. [PMID: 35933007 DOI: 10.1016/j.jogc.2022.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Revised: 07/03/2022] [Accepted: 07/05/2022] [Indexed: 10/16/2022]
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Meyer R, Meller N, Mohr-Sasson A, Toussia-Cohen S, Machtinger R, Bart Y, Mashiach R, Levin G. Clinical features of isolated Fallopian tube torsion: evidence from a large series. HUM FERTIL 2023; 26:971-977. [PMID: 35114880 DOI: 10.1080/14647273.2022.2034056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Accepted: 10/14/2021] [Indexed: 11/04/2022]
Abstract
We aimed at studying isolated Fallopian tube torsion (IFTT) in a relatively large cohort of women and to evaluate different features of IFTT in comparison to a large cohort of women with non-IFTT adnexal torsion (NIAT). This was a retrospective cohort study. We included women with surgically confirmed ovarian and/or Fallopian tube torsion between March 2011 and June 2020. Fifty-four cases of IFTT were surgically confirmed during the study period and were compared to 422 surgically confirmed NIAT. The rate of controlled ovarian hyperstimulation treatments, current pregnancy, and vomiting was lower in the IFTT group compared with the NIAT group. Cervical tenderness and vaginal discharge were more common in the IFTT group. Oedematous and enlarged ovaries were less common in the IFTT group. In multivariate regression analysis, the following factors were independently associated with IFTT: (i) vaginal discharge [adjusted odds ratio (aOR) 95% CI 8.16, 1.98-33.55]; (ii) cervical motion tenderness (aOR 95% CI 2.71, 1.01-7.29); (iii) fertility treatments (aOR 95% CI 0.26, 0.70-0.77); (iv) previous abdominal surgery (aOR 95% CI 0.46, 0.22-0.96); (v) vomiting (aOR 95% CI 0.38, 0.19-0.76); and (vi) enlarged ovary (aOR 95% CI 0.34, 0.18-0.65). In conclusion, we have identified factors positively and negatively associated with IFTT in a large cohort of women with adnexal torsion.
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Affiliation(s)
- Raanan Meyer
- Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Ramat-Gan, Israel
- Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
- The Dr. Pinchas Bornstein Talpiot Medical Leadership Program, Sheba Medical Center, Tel Hashomer, Ramat-Gan, Israel
| | - Nir Meller
- Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Ramat-Gan, Israel
- Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Aya Mohr-Sasson
- Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Ramat-Gan, Israel
- Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Shlomo Toussia-Cohen
- Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Ramat-Gan, Israel
- Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Ronit Machtinger
- Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Ramat-Gan, Israel
- Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Yossi Bart
- Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Ramat-Gan, Israel
- Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Roy Mashiach
- Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Ramat-Gan, Israel
- Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
| | - Gabriel Levin
- Department of Gynecologic Oncology, Faculty of Medicine, Hadassah Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel
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Cleemput V, Bafort C, Van Rompuy AS. Fallopian Tube Prolapse in the Sigmoid Colon: A Case Report of a Peculiar Surgical Complication. Int J Surg Pathol 2022:10668969221113484. [PMID: 35898189 DOI: 10.1177/10668969221113484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Fallopian tube prolapse is a rare complication post surgery, nearly always presenting in the vaginal wall after hysterectomy. Occurrence is relatively rare, with less than 100 cases being described in literature. We report the case of a 36 year old woman with a prolapsed fallopian tube, presenting as an ulcerated intraluminal mass in the descending colon after sigmoid colon resection for endometriosis.
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Affiliation(s)
- Vincent Cleemput
- Department of Pathology, University Hospitals Leuven, Leuven, Belgium
| | - Celine Bafort
- Department of Obstetrics and Gynaecology, Leuven University Fertility center, University Hospitals Leuven, Leuven, Belgium
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Huang S, Lv Q, Li Y, Meng Q, Li M. A modified technique for paravaginal repair of cystocele with paravaginal defect: A retrospective study. Eur J Obstet Gynecol Reprod Biol 2021; 269:108-113. [PMID: 34992032 DOI: 10.1016/j.ejogrb.2021.12.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 10/27/2021] [Accepted: 12/22/2021] [Indexed: 11/15/2022]
Abstract
OBJECTIVE We aimed to determine the efficacy and safety of a modified protocol for paravaginal repair of symptomatic paravaginal defects and cystocele. METHODS This study was an observational case series of 98 consecutive female patients, referred to our hospital between June 2014 and May 2018, with symptomatic grade II to IV paravaginal defects and cystocele. Our modified technique for paravaginal repair is based on the conventional protocol but incorporates reverse bridge repair and the cross-stitching of bilateral sutures. The curative effect of this new technique was evaluated subjectively and objectively during postoperative follow-up. RESULTS All operations were successful. Patients were followed up for 12 to 48 months, until June 2019; the mean follow-up period was 32.4 months. Three months after surgery, the rate of success was 100% (98/98 cases); in each case, the top of the vagina lay above the level of the sciatic spine. The rate of success was 94.9% (93/98 cases) at 12 months after surgery, 91.0% (61/71 cases) at 24 months after surgery, and 76.2% (16/21 cases) at 48 months after surgery. Four cases required a second surgery; three of these cases were treated with sacrocolpopexy, and one case was treated with sacrospinous ligament fixation. CONCLUSION Our modified technique for paravaginal repair was safe and effective for anterior vaginal prolapse and cystocele, as confirmed by the results observed over a mean follow-up period of 32.4 months.
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Affiliation(s)
- Shuai Huang
- Department of Gynecology and Obstetrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, PR China.
| | - Qiubo Lv
- Department of Gynecology and Obstetrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, PR China
| | - Ye Li
- Department of Gynecology and Obstetrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, PR China
| | - Qingwei Meng
- Department of Gynecology and Obstetrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, PR China
| | - Min Li
- Department of Gynecology and Obstetrics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, PR China
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Parikshaa G, Nalini G, Vanita S. Cytomorphologic clues for the diagnosis of fallopian tube prolapse in liquid-based vault samples with review of the literature. Diagn Cytopathol 2021; 49:E428-E435. [PMID: 34313405 DOI: 10.1002/dc.24842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 07/16/2021] [Accepted: 07/20/2021] [Indexed: 11/08/2022]
Abstract
INTRODUCTION Fallopian tube prolapse (FTP) is a rare complication of hysterectomy. The cytological features of the prolapsed fallopian tube in vault smears have been occasionally described in the literature. MATERIALS AND METHODS This was a retrospective study conducted to identify and describe the characteristic cytologic features of histopathologically confirmed cases of FTP in SurePath™ liquid-based preparations. Additionally, the literature documenting cytologic features of the prolapsed fallopian tube in vault smears was also reviewed. RESULTS A total of four corresponding vault cytology samples of FTP cases, reported on histopathology, were available. On cytologic examination, these cases demonstrated strips and papillaroid clusters of columnar-shaped cells with mild nuclear enlargement, round to elongated nuclei, fine chromatin, inconspicuous nucleoli, and a moderate amount of wispy cytoplasm. Admixed inflammatory cells were also noted. Some of these cells demonstrated the presence of cilia and terminal bar toward the apical surface, indicative of tubal epithelium. The presence of three-dimensional papillaroid clusters lined by columnar cells as well as strips of similar cells with cilia and terminal bars at the apical surface and fine nuclear chromatin were the most consistent cytologic features in these cases. CONCLUSION We conclude that a high index of clinical suspicion in post-hysterectomy cases with knowledge of the characteristic cytologic features can help in suggesting a diagnosis of tubal prolapse in vault samples.
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Affiliation(s)
- Gupta Parikshaa
- Department of Cytology and Gynecologic Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Gupta Nalini
- Department of Cytology and Gynecologic Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Suri Vanita
- Department of Obstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Sedrati A, Alonso L, Wagner S, Carugno J. Fallopian Tube Prolapse Through the Internal Cervical os: A Rare Complication of Uterine Perforation. J Minim Invasive Gynecol 2021; 28:1808-1809. [PMID: 34197955 DOI: 10.1016/j.jmig.2021.06.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 06/23/2021] [Accepted: 06/24/2021] [Indexed: 11/15/2022]
Affiliation(s)
- Adel Sedrati
- Department Obstetrics and Gynecology, Independent Consultant, Constantine, Algeria (Dr. Sedrati); Endoscopy Unit, Centro Gutenberg, Malaga, Spain (Dr. Alonso); Department of Obstetrics, Gynecology and Reproductive Science, Division of Minimally Invasive Gynecology, University of Miami. Miller School of Medicine. Miami, Florida (Drs. Wagner and Carugno)
| | - Luis Alonso
- Department Obstetrics and Gynecology, Independent Consultant, Constantine, Algeria (Dr. Sedrati); Endoscopy Unit, Centro Gutenberg, Malaga, Spain (Dr. Alonso); Department of Obstetrics, Gynecology and Reproductive Science, Division of Minimally Invasive Gynecology, University of Miami. Miller School of Medicine. Miami, Florida (Drs. Wagner and Carugno)
| | - Shannon Wagner
- Department Obstetrics and Gynecology, Independent Consultant, Constantine, Algeria (Dr. Sedrati); Endoscopy Unit, Centro Gutenberg, Malaga, Spain (Dr. Alonso); Department of Obstetrics, Gynecology and Reproductive Science, Division of Minimally Invasive Gynecology, University of Miami. Miller School of Medicine. Miami, Florida (Drs. Wagner and Carugno)
| | - Jose Carugno
- Department Obstetrics and Gynecology, Independent Consultant, Constantine, Algeria (Dr. Sedrati); Endoscopy Unit, Centro Gutenberg, Malaga, Spain (Dr. Alonso); Department of Obstetrics, Gynecology and Reproductive Science, Division of Minimally Invasive Gynecology, University of Miami. Miller School of Medicine. Miami, Florida (Drs. Wagner and Carugno).
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Woodard TJ, Margolis B, Lee S, Salame G. Serous carcinoma of a prolapsed fallopian tube: A rare cause of a vaginal apex mass. Gynecol Oncol Rep 2020; 33:100618. [PMID: 32885015 PMCID: PMC7452560 DOI: 10.1016/j.gore.2020.100618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Revised: 07/27/2020] [Accepted: 07/31/2020] [Indexed: 11/03/2022] Open
Abstract
Vaginal masses after hysterectomy for benign indications should be investigated. Opportunistic salpingectomies may decrease incidence of epithelial ovarian cancers. Consider regular pelvic exams for women with asymptomatic prolapsed fallopian tubes.
Background Case Conclusion
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Persistent Vaginal Leakage in the Setting of an Apical Vaginal Sinus Tract: A Case Report. Female Pelvic Med Reconstr Surg 2018; 24:e23-e25. [PMID: 29894327 DOI: 10.1097/spv.0000000000000600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Fistulas are defined as abnormal connections between 2 organ, vessels, or structures. They can often present in the genitourinary tract as a result of iatrogenic injury during pelvic surgery. A 46-year-old female presents many years after a hysterectomy for persistent vaginal leakage with concern for a vesicovaginal fistula. Computed tomography urogram, intravenous retrograde pyelogram, and cystoscopy were negative for vesicovaginal fistula; however, a vaginal sinus tract was noted and further explored. This case report will describe the use of both laparoscopy and concomitant vaginoscopy to diagnose and, ultimately, surgically excise a salpingovaginal fistula.
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Johnson SC, Yegul NT, Balcacer P. Sonovaginography: A Useful Technique in the Assessment of the Lower Genital Tract. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2017; 36:1917-1933. [PMID: 28516503 DOI: 10.1002/jum.14216] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2016] [Accepted: 11/11/2016] [Indexed: 06/07/2023]
Abstract
Conventional sonographic evaluation of the cervix and vagina is compromised by inattention, poor subject contrast, and obscuring artifacts. We describe a technique involving distention of the vaginal canal and fornices with ultrasound gel, providing an acoustic window for improved definition of the cervix and vagina. This exam is usually performed in concert with transvaginal sonography, but a transabdominal or transperineal approach may be more useful in selected scenarios. A wide variety of formerly sonographically inconspicuous conditions are demonstrable with this technique, many of which were undetected or inadequately characterized on the physical exam. Cervical polyps were the most commonly seen abnormality.
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Affiliation(s)
- Samuel C Johnson
- Department of Radiology, Wayne State University School of Medicine, Detroit, Michigan, USA
| | - N Tugce Yegul
- Department of Radiology, Kaiser Permanente, Sacramento, California, USA
| | - Patricia Balcacer
- Department of Radiology, Yale University School of Medicine, New Haven, Connecticut, USA
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Vasnik G, Madakshira MG. Post-hysterectomy Fallopian Tube Prolapse. INDIAN JOURNAL OF GYNECOLOGIC ONCOLOGY 2016. [DOI: 10.1007/s40944-016-0093-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Ulubay M, Ozturk M, Fidan U, Keskin U, Alanbay İ, Yenen MC. Laparoscopic Management of Fallopian Tube Prolapse Following an Abdominal Hysterectomy. J Gynecol Surg 2016. [DOI: 10.1089/gyn.2015.0105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Affiliation(s)
- Mustafa Ulubay
- Obstetrics and Gynecology Department, Gulhane Military Medical Academy and Medical School, Etlik, Ankara, Turkey
| | - Mustafa Ozturk
- Obstetrics and Gynecology Department, Etimesgut Military Hospital, Etimesgut, Ankara, Turkey
| | - Ulaş Fidan
- Obstetrics and Gynecology Department, Gulhane Military Medical Academy and Medical School, Etlik, Ankara, Turkey
| | - Uğur Keskin
- Obstetrics and Gynecology Department, Gulhane Military Medical Academy and Medical School, Etlik, Ankara, Turkey
| | - İbrahim Alanbay
- Obstetrics and Gynecology Department, Gulhane Military Medical Academy and Medical School, Etlik, Ankara, Turkey
| | - Mufit C. Yenen
- Obstetrics and Gynecology Department, Gulhane Military Medical Academy and Medical School, Etlik, Ankara, Turkey
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Goyal LD, Maheshwari S, Kaur S, Kaur H. Prolapse of fallopian tube through abdominal wound after caesarean section mimicking scar endometriosis: a case report. J Med Case Rep 2015; 9:280. [PMID: 26674349 PMCID: PMC4682246 DOI: 10.1186/s13256-015-0769-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2015] [Accepted: 11/17/2015] [Indexed: 11/11/2022] Open
Abstract
Introduction 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. 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 presentation We 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. Conclusion Awareness of this complication may prevent improper management of wound dehiscence and such complication causing prolonged agony to the patient.
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Affiliation(s)
- Lajya Devi Goyal
- Department of Obstetrics and Gynaecology, Gurugobind Singh Médical Hospital, Faridkot, Punjab, 151203, India.
| | - Shalini Maheshwari
- Department of Obstetrics and Gynaecology, Gurugobind Singh Médical Hospital, Faridkot, Punjab, 151203, India.
| | - Sharanjit Kaur
- University Collège of Nursing, Faridkot, Punjab, 151203, India.
| | - Harpreet Kaur
- Department of Obstetrics and Gynaecology, Gurugobind Singh Médical Hospital, Faridkot, Punjab, 151203, India.
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Espaillat-Rijo L, Pereira I, Davila GW. Postcoital Bleeding From a Vaginal Lesion. J Minim Invasive Gynecol 2015; 23:8-9. [PMID: 25987524 DOI: 10.1016/j.jmig.2015.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2015] [Accepted: 05/06/2015] [Indexed: 10/23/2022]
Affiliation(s)
| | - Ines Pereira
- Department of Obstetrics and Gynecology, Centro Hospitalar Lisboa Norte, Hospital de Santa Maria, Lisboa, Portugal
| | - G Willy Davila
- Department of Gynecology, Cleveland Clinic Florida, Weston, Florida
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