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

Abstract

IntroductionProlapse of the fallopian tube after hysterectomy is a rare but known complication. Cases of prolapse of the fallopian tube through the vaginal vault have been reported after abdominal, vaginal or laparoscopic hysterectomies. This is the first case report to the best of our knowledge on the prolapse of a fallopian tube through an abdominal wound after caesarean section.Case presentationWe report a case of the prolapse of the fimbrial end of a fallopian tube through an abdominal scar after caesarean section mimicking scar endometriosis. A 24-year-old primipara South Asian woman of Punjabi ethnicity presented to our institute with a fleshy mass protruding through her abdominal scar and bleeding from the mass during menstruation for the past 5 months. She underwent a caesarean section 6 months earlier for breech presentation. Her history revealed she had wound dehiscence on the sixth postoperative day. The major portion of her wound healed in 1 month leaving a 2 cm area in the middle of her vertical scar. An abdominal examination revealed a 2×2 cm fleshy mass protruding through the middle part of her infraumbilical abdominal scar. At the time of the surgery we found that the fimbrial end of her left fallopian tube was protruding through her abdominal scar.ConclusionAwareness of this complication may prevent improper management of wound dehiscence and such complication causing prolonged agony to the patient.

Rare case of abdominal scar endometriosis by direct communication between fallopian tube and abdominal wall

“…One previous case report describes the finding of a prolapsed fallopian tube through the abdominal wound after cesarean section complicated by wound dehiscence. 7 The presentation mimicked endometriosis due to the finding of an incisional palpable mass which bled abdominally with menstruation. The fallopian tube had prolapsed through the fascia, and retrograde menstruation was causing bleeding, but unlike the presently described case, there was no finding of local endometriosis.…”