Prolapse of the Fallopian Tube into the Vaginal Vault after Abdominal Hysterectomy.

Park, Jee Hyun; Lee, Jeong Rye; Hwang, Sung Ook; Koh, Seung Kwon; Im, Moon Whan; Lee, Byoung Ick

Case Report

Korean Journal of Obstetrics & Gynecology 2002;45(2):307-310.
Published online February 1, 2002.

Prolapse of the Fallopian Tube into the Vaginal Vault after Abdominal Hysterectomy.

Jee Hyun Park, Jeong Rye Lee, Sung Ook Hwang, Seung Kwon Koh, Moon Whan Im, Byoung Ick Lee

Department of Obstetrics and Gynecology, College of Medicine, Inha University, Inchon, Korea.

Abstract

Prolapse of the fallopian tube into the vaginal vault after hysterectomy is a rare phenomenon and it occurs more frequently after vaginal hysterectomy than abdominal hysterectomy. The exact incidence of tubal prolapse is unknown, because most of cases remain undiagnosed and may resolve before detection. The tubal prolapse may be suspected when granulation tissue or tender friable tissue are detected in vaginal cuff in women complaining lower abdominal pain, dysparenunia, vaginal discharge, or postcoital spotting. The definitive diagnosis of fallopian tube prolapse is made only by histologic confirmation. Reported methods of treatment have included transvaginal excision or transabdominal excision, cautery, and combined vaginal and laparoscopic salpingectomy. We experienced a case of fallopian tube prolapse after abdominal hysterectomy in a 40-year-old woman. We present this case with a brief review of the literature.

Key Words: Prolapse of the fallopian tube