Fallopian Tube Papilloma: An Unusual Case of Tubal Obstruction

Abstract

Fallopian tube (FT) neoplasms either benign or malignant are uncommon in pathology. Papillomas are rare benign neoplasms of the FT. This report describes the presence of a benign papilloma of FT presenting as a ruptured ectopic pregnancy in emergency. A 24-year-old female presented to the gynecology emergency with chief complains of acute pain abdomen for 6 hours and bleeding per vaginum (PV) for 1 day. Left salpingectomy with a right tubal segment ligation was done and sent for histopathologic examination. It was subsequently diagnosed as FT papilloma with no evidence of tubal gestation on histopathology. FT papilloma, although rare and often found incidentally, could be a significant factor in occluding the lumen of the tube, thereby resulting in abortion or sterility of the patient. Since the management is mainly conservative and prognosis is good, it is also essential to differentiate these lesions from the other proliferative lesions of FT.

Heat Artifact Mimicking Adenocarcinoma of Fallopian Tube

“…Papillomas grossly presents as obstructive lesions and microscopically papillae have a complex branching pattern with loose fibrovascular cores. [8] These features can help us differentiate it from the heat artefactual change.…”