Korean J Obstet Gynecol.  2002 Feb;45(2):307-310.

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

• Park JH
• Lee JR
• Hwang SO
• Koh SK
• Im MW
• Lee BI

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.

Keyword

Prolapse of the fallopian tube

MeSH Terms

Abdominal Pain
Adult
Cautery
Diagnosis
Fallopian Tubes*
Female
Granulation Tissue
Humans
Hysterectomy*
Hysterectomy, Vaginal
Incidence
Metrorrhagia
Prolapse*
Salpingectomy
Vaginal Discharge