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JSLS. 2011 Jul-Sep;15(3):393-5. doi: 10.4293/108680811X13125733357034.

Laparoscopic management of transcervical fallopian tube prolapse.

Author information

1
Department of Obstetrics and Gynecology, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, Ohio, USA. bedaiwymmm@yahoo.com

Abstract

INTRODUCTION:

Fallopian tube prolapse (FTP) is a rare but increasingly recognized postoperative complication of total hysterectomy, but few reports relate FTP to supracervical hysterectomy.

CASE:

A 35-year-old, G2P2, patient with a history of recurrent fibroid prolapse received a supracervical hysterectomy. One week postoperatively, she was treated for infection, and 1 month later a scheduled Pap smear returned benign results and noted a rare cluster of glandular cells. Two months after the hysterectomy, the patient presented to the outpatient clinic with vaginal discharge and dyspareunia. The patient was diagnosed with FTP and was treated with total salpingectomy using a combined vaginal and laparoscopic approach.

CONCLUSION:

Transcervical FTP is a rare complication following supracervical hysterectomy. Increasing awareness of the condition will allow for fewer delays in diagnosis and treatment. A laparoscopic total salpingectomy provides effective treatment with minimal invasiveness.

PMID:
21985731
PMCID:
PMC3183568
DOI:
10.4293/108680811X13125733357034
[Indexed for MEDLINE]
Free PMC Article
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