Tubal prolapse after total laparoscopic hysterectomy

Ang, W. Catarina; Lenglet, Y.; Botchorishvili, R.; Roman, Humberto Ramos; Canis, Michel; Mage, G.

doi:10.1007/s10397-005-0134-4

Cited by 4 publications

(3 citation statements)

References 37 publications

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“…Postoperative hematoma, infection, insufficient preoperative vaginal preparation, challenging surgery, and elevated intraabdominal pressure are additional risk factors [ 5 ]. Early prolapses are frequently brought on by intense physical activity or early sexual engagement, which weakens the vaginal vault scar as could be a potential cause in presented age group patients [ 6 ]. The condition's rarity can be attributed to the fact that the tubal end would only be more likely to herniate if it were sufficiently lengthy and flexible [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Peritoneovaginal Fistula With Fimbrial Prolapse in a Post-hysterectomy Woman

Halder,

Gautam,

Dhubey

et al. 2023

Cureus

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A fairly uncommon differential diagnosis for chronic vaginal discharge and sexual dysfunction in post-hysterectomy women is peritoneo-vaginal fistula. It can present with or without fimbrial end prolapse. It is also a rare differential of genito urinary fistula due to its comparable presentation in post-hysterectomy women. Patients' morbidity and a number of unneeded conservative treatments, including the use of antibiotics and superfluous tests, can be brought on by surgeons' uncertainties related to its diagnosis. Prophylactic salpingectomy and proper surgical technique are essential for avoiding these problems as summarised from previous literature. Hereby, we are presenting a case of a 30-year-old woman who underwent abdominal hysterectomy and has been complaining of persistent watery vaginal discharge for a year after the procedure. As genito-urinary fistula is a common relative differential of the presenting case scenario, hence workup was done to rule it out but there were no noteworthy discoveries found from the workup. Due to the diagnostic conundrum, we scheduled the patient for a diagnostic laparoscopy that was followed by the detection of the peritoneo-vaginal fistulous tract with prolapsed fimbrial end, repair of tract followed by bilateral salpingectomy.

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Section: Discussionmentioning

confidence: 99%

An Unusual Case of Peritoneovaginal Fistula With Fimbrial Prolapse in a Post-hysterectomy Woman

Halder,

Gautam,

Dhubey

et al. 2023

Cureus

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“…14 Other factors include insufficient preoperative vaginal preparation, difficult surgical procedure, low socioeconomic status, use of polyglactin polymer sutures, and use of transvaginal drains or packs. 15 A majority of these women present with pelvic pain, dyspareunia, vaginal bleeding, and/or vaginal discharge. Foul-smelling vaginal discharge indicates superadded infection.…”

Section: Discussionmentioning

confidence: 99%

Cytomorphologic clues for the diagnosis of fallopian tube prolapse in liquid‐based vault samples with review of the literature

Gupta

Suri

2021

Diagnostic Cytopathology

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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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“…[ 2 ] Rarely urinary bladder and uterus are the sites of tubal prolapse. [ 8 ] The differential diagnosis includes, proliferative granulation tissue related to surgery, granuloma not related to surgery, malignant lesion and endometriosis. [ 2 3 ] The fallopian tube tissue is firmer than granulation tissue and also more tender.…”

Section: Discussionmentioning

confidence: 99%

Posthysterectomy fallopian tube prolapse

Sanklecha¹,

Sisodia²,

Ansari³

et al. 2012

J Mid-life Health

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Fallopian tube prolapse into the vaginal vault is a rare complication after hysterectomy with adnexal preservation. It can occur following vaginal and abdominal hysterectomy, and rarely following interposition and colpotomy. Histopathology is the only means of definitive diagnosis. Prevention of tubal prolapse can be achieved by suturing the adnexae high in the pelvis at abdominal hysterectomy, and the incidence decreases if the pelvic peritoneum is closed properly.

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Tubal prolapse after total laparoscopic hysterectomy

Cited by 4 publications

References 37 publications

An Unusual Case of Peritoneovaginal Fistula With Fimbrial Prolapse in a Post-hysterectomy Woman

An Unusual Case of Peritoneovaginal Fistula With Fimbrial Prolapse in a Post-hysterectomy Woman

Cytomorphologic clues for the diagnosis of fallopian tube prolapse in liquid‐based vault samples with review of the literature

Posthysterectomy fallopian tube prolapse

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