Fallopian Tube Prolapse after Hysterectomy: A Systematic Review

Abstract

BackgroundProlapse of the fallopian tube into the vaginal vault is a rarely reported complication that may occur after hysterectomy. Clinicians can miss the diagnosis of this disregarded complication when dealing with post-hysterectomy vaginal bleeding.ObjectivesWe performed a systematic review in order to describe the clinical presentation, therapeutic management and outcome of fallopian tube prolapse occurring after hysterectomy.Search StrategyA systematic search of MEDLINE and EMBASE references from January 1980 to December 2010 was performed. We included articles that reported cases of fallopian tube prolapse after hysterectomy. Data from eligible studies were independently extracted onto standardized forms by two reviewers.ResultsTwenty-eight articles including 51 cases of fallopian tube prolapse after hysterectomy were included in this systematic review. Clinical presentations included abdominal pain, dyspareunia, post- coital bleeding, and/or vaginal discharge. Two cases were asymptomatic and diagnosed at routine checkup. The surgical management reported comprised partial or total salpingectomy, with vaginal repair in some cases combined with oophorectomy using different approaches (vaginal approach, combined vaginal-laparoscopic approach, laparoscopic approach, or laparotomy). Six patients were initially treated by silver nitrate application without success.ConclusionsThis systematic review provided a precise summary of the clinical characteristics and treatment of patients presenting with fallopian tube prolapse following hysterectomy published in the past 30 years. We anticipate that these results will help inform current investigations and treatment.

Serous carcinoma of a prolapsed fallopian tube: A rare cause of a vaginal apex mass

“…Fallopian tube prolapse is a rare hysterectomy complication reported to occur in 0.1% of hysterectomies and is most common after vaginal hysterectomy ( Fan et al, 2006 ). Common presentations from a systematic review of patients with fallopian tube prolapse include pain, dyspareunia, post coital bleeding and an incidental finding of a red friable mass at the vaginal apex ( Ouldamer et al, 2013 ). Of 51 patients with fallopian tube prolapse, none were expectantly managed, 45 (88%) were treated surgically, six (12%) were treated with silver nitrate and no diagnoses of carcinoma were reported.…”

Prolapse of fallopian tube through abdominal wound after caesarean section mimicking scar endometriosis: a case report

“…Ouldamer et al . [ 6 ] did a systemic review on prolapse of fallopian tube after hysterectomy and suggested multiple contributing factors including defective operative technique, poor nutritional status, pelvic infection, wound hematoma, uncontrolled diabetes, chronic cough and constipation. The poor physical status of the patient, anemia malnutrition, postoperative wound infection and letting the wound heal by secondary intention could have been the contributing factors in this case.…”

Fallopian Tube Prolapse Through the Internal Cervical os: A Rare Complication of Uterine Perforation

“…Authors: Sedrati Adel MD 1 , Alonso Luis MD 2 , Wagner, Shannon MD 3 , Carugno Jose MD 3 1. Independent Consultant.…”