Ascending peritonitis associated with Fallopian tube prolapse following hysterectomy

Fox, R; Kassab, Ahmed; Sankar, Ajesh

doi:10.1080/01443610802164409

Cited by 3 publications

(3 citation statements)

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“…Of the 39 articles, 11 articles were excluded because there was no individual patient information (n=7), because they concerned general topics (n=2), because it reported fallopian prolapse after laparoscopic resection of endometriosis without hysterectomy (n=1) or because it was a duplicate publication (n=1). Twenty-eight articles were finally included in this systematic review describing 51 patients [4–31]. …”

Section: Resultsmentioning

confidence: 99%

“…Although some of the women were post-menopausal [9,21,26], most of the studies reported patients who were premenopausal [4–8,10–14,16–20,22–24,27–31]. Reasons that may contribute to fallopian tube prolapse are probably multifactorial but the high percentage of premenopausal patients (92.7%) suggest a potential implication of younger age to the occurrence of fallopian herniation.…”

Section: Discussionmentioning

confidence: 99%

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Fallopian Tube Prolapse after Hysterectomy: A Systematic Review

2013

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BackgroundProlapse of the fallopian tube into the vaginal vault is a rarely reported complication that may occur after hysterectomy. Clinicians can miss the diagnosis of this disregarded complication when dealing with post-hysterectomy vaginal bleeding.ObjectivesWe performed a systematic review in order to describe the clinical presentation, therapeutic management and outcome of fallopian tube prolapse occurring after hysterectomy.Search StrategyA systematic search of MEDLINE and EMBASE references from January 1980 to December 2010 was performed. We included articles that reported cases of fallopian tube prolapse after hysterectomy. Data from eligible studies were independently extracted onto standardized forms by two reviewers.ResultsTwenty-eight articles including 51 cases of fallopian tube prolapse after hysterectomy were included in this systematic review. Clinical presentations included abdominal pain, dyspareunia, post- coital bleeding, and/or vaginal discharge. Two cases were asymptomatic and diagnosed at routine checkup. The surgical management reported comprised partial or total salpingectomy, with vaginal repair in some cases combined with oophorectomy using different approaches (vaginal approach, combined vaginal-laparoscopic approach, laparoscopic approach, or laparotomy). Six patients were initially treated by silver nitrate application without success.ConclusionsThis systematic review provided a precise summary of the clinical characteristics and treatment of patients presenting with fallopian tube prolapse following hysterectomy published in the past 30 years. We anticipate that these results will help inform current investigations and treatment.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Fallopian Tube Prolapse after Hysterectomy: A Systematic Review

2013

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“…Patients may present with abdominal or pelvicpain, which is usually unilateral and reproducible by grasping the prolapsed tube. Urinary symptoms, tubo-ovarian abscess, herpetic salpingitis and peritonitis due to vaginoperitoneal fistula have also been described [3,4]. Visual examination of the vaginal vault may demonstrate a red, granular, or polypoid mass that resembles proliferative vault granulation tissue [5].…”

Section: Introductionmentioning

confidence: 99%

Robotic Assisted Repair of Bilateral Fallopian Tube Prolapse after Vaginal Hysterectomy

Vera¹

2016

Obstet Gynecol Cases Rev

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Fallopian Tube Prolapse After Hysterectomy: A Case Report

Ashrafganjoei

Khosravi

2017

J Obstet Gynecol Cancer Res

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Introduction: The aim of this study was to describe clinical findings of prolapse of fallopian tube to vaginal vault following abdominal hysterectomy for multiple leiomyomas of uterine and to correlate it with other features. Case Presentation: A patient with history of leiomyomas and abnormal uterine bleeding was admitted with abdominal pain and scheduled for abdominal hysterectomy. Intra operative inspection showed multiple leiomyomas of uterine. One year after operation of total abdominal hysterectomy, the patient presented with abdominal pain, dyspareunia, and purulent vaginal discharge and therefore, referred to our center for further evaluation. In the vaginal examination, a protruding red mass with fibrotic fimberia was observed. The right fallopian tube (FT) with its fimbria prolapsed to vaginal vault as a granulation tissue was removed from vaginal cuff and sent to pathology. The pathologist reported fallopian tube tissue. Post-operative course was uneventful and the patient was discharged on 2nd day of post hysterectomy with good general condition. Six-month follow-up showed abolished purulent discharge. The site of resected vaginal cuff was intact in vaginal examination. Conclusions: Intra vaginal prolapse of the fallopian tube is a rare sequel of hysterectomy. Clinicians should be aware of this disregarded sequel when dealing with post-hysterectomy vaginal discharge.

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Ascending peritonitis associated with Fallopian tube prolapse following hysterectomy

Cited by 3 publications

References 1 publication

Fallopian Tube Prolapse after Hysterectomy: A Systematic Review

Fallopian Tube Prolapse after Hysterectomy: A Systematic Review

Robotic Assisted Repair of Bilateral Fallopian Tube Prolapse after Vaginal Hysterectomy

Fallopian Tube Prolapse After Hysterectomy: A Case Report

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