Prolapsed fallopian tube to the vagina after hysterectomy a year ago: A case report

Objective: This case report aims to present a rare occurrence of fallopian tube prolapse into the vaginal vault following hysterectomy, underscoring the importance of recognizing this uncommon complication. Case Report: A 45-year-old woman, with a history of hysterectomy for adenomyosis, presented w...

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Main Authors: Yu-Hsuan Lin, Huang-Ping Shen, Chih-Jen Tseng, Liang-Ying Wu, Li-Hsin Hsia
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Taiwanese Journal of Obstetrics & Gynecology
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Online Access:http://www.sciencedirect.com/science/article/pii/S102845592400295X
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author Yu-Hsuan Lin
Huang-Ping Shen
Chih-Jen Tseng
Liang-Ying Wu
Li-Hsin Hsia
author_facet Yu-Hsuan Lin
Huang-Ping Shen
Chih-Jen Tseng
Liang-Ying Wu
Li-Hsin Hsia
author_sort Yu-Hsuan Lin
collection DOAJ
description Objective: This case report aims to present a rare occurrence of fallopian tube prolapse into the vaginal vault following hysterectomy, underscoring the importance of recognizing this uncommon complication. Case Report: A 45-year-old woman, with a history of hysterectomy for adenomyosis, presented with symptoms mimicking a vaginal tumor, including persistent discharge, abdominal pain, postcoital bleeding, and weight loss. Imaging raised concerns of malignancy, but surgery revealed a prolapsed fallopian tube with chronic inflammation. This case highlights the diagnostic challenges, with less than 100 reported instances. Differential diagnoses encompassed diverse pelvic pathologies, necessitating histological confirmation. Factors contributing to prolapse include poor vault closure and early sexual activity. Awareness of this complication is pivotal when evaluating post-hysterectomy symptoms, ensuring precise diagnosis and appropriate management. Conclusion: Fallopian tube prolapse into the vaginal vault is a rare post-hysterectomy complication. Early recognition and accurate diagnosis are essential for effective management of patients presenting with post-hysterectomy symptoms, such as vaginal bleeding and discharge.
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institution Kabale University
issn 1028-4559
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publishDate 2025-01-01
publisher Elsevier
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series Taiwanese Journal of Obstetrics & Gynecology
spelling doaj-art-93e32bd7df9345348f40a4d6eec4ff882025-01-09T06:12:54ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592025-01-01641155158Prolapsed fallopian tube to the vagina after hysterectomy a year ago: A case reportYu-Hsuan Lin0Huang-Ping Shen1Chih-Jen Tseng2Liang-Ying Wu3Li-Hsin Hsia4Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung 40203, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung 40203, TaiwanDepartment of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung 40203, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung 40203, Taiwan; Corresponding author. Chung Shan Medical University Hospital, Department of Obstetrics and Gynecology, No. 110, Section 1, Jianguo N Rd, South District, Taichung City, 4023, Taiwan.Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung 40203, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung 40203, TaiwanDepartment of Radiology, Taichung Veterans General Hospital 407219, TaiwanDepartment of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung 40203, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung 40203, TaiwanObjective: This case report aims to present a rare occurrence of fallopian tube prolapse into the vaginal vault following hysterectomy, underscoring the importance of recognizing this uncommon complication. Case Report: A 45-year-old woman, with a history of hysterectomy for adenomyosis, presented with symptoms mimicking a vaginal tumor, including persistent discharge, abdominal pain, postcoital bleeding, and weight loss. Imaging raised concerns of malignancy, but surgery revealed a prolapsed fallopian tube with chronic inflammation. This case highlights the diagnostic challenges, with less than 100 reported instances. Differential diagnoses encompassed diverse pelvic pathologies, necessitating histological confirmation. Factors contributing to prolapse include poor vault closure and early sexual activity. Awareness of this complication is pivotal when evaluating post-hysterectomy symptoms, ensuring precise diagnosis and appropriate management. Conclusion: Fallopian tube prolapse into the vaginal vault is a rare post-hysterectomy complication. Early recognition and accurate diagnosis are essential for effective management of patients presenting with post-hysterectomy symptoms, such as vaginal bleeding and discharge.http://www.sciencedirect.com/science/article/pii/S102845592400295XFallopian tubeTubal prolapseHysterectomyVaginal cuffVaginal vault
spellingShingle Yu-Hsuan Lin
Huang-Ping Shen
Chih-Jen Tseng
Liang-Ying Wu
Li-Hsin Hsia
Prolapsed fallopian tube to the vagina after hysterectomy a year ago: A case report
Taiwanese Journal of Obstetrics & Gynecology
Fallopian tube
Tubal prolapse
Hysterectomy
Vaginal cuff
Vaginal vault
title Prolapsed fallopian tube to the vagina after hysterectomy a year ago: A case report
title_full Prolapsed fallopian tube to the vagina after hysterectomy a year ago: A case report
title_fullStr Prolapsed fallopian tube to the vagina after hysterectomy a year ago: A case report
title_full_unstemmed Prolapsed fallopian tube to the vagina after hysterectomy a year ago: A case report
title_short Prolapsed fallopian tube to the vagina after hysterectomy a year ago: A case report
title_sort prolapsed fallopian tube to the vagina after hysterectomy a year ago a case report
topic Fallopian tube
Tubal prolapse
Hysterectomy
Vaginal cuff
Vaginal vault
url http://www.sciencedirect.com/science/article/pii/S102845592400295X
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AT huangpingshen prolapsedfallopiantubetothevaginaafterhysterectomyayearagoacasereport
AT chihjentseng prolapsedfallopiantubetothevaginaafterhysterectomyayearagoacasereport
AT liangyingwu prolapsedfallopiantubetothevaginaafterhysterectomyayearagoacasereport
AT lihsinhsia prolapsedfallopiantubetothevaginaafterhysterectomyayearagoacasereport