Second Look of Endosalpingiosis: A Rare Entity

Zangmo, Rinchen; Singh, Neeta; Kumar, Sunesh; Vatsa, Richa

doi:10.1007/s13224-016-0960-5

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…4 The clinical features of endosalpingiosis vary widely depending on the involved organs; it can be asymptomatic and affect women mostly during reproductive age. 1 We report the first case of uterine FCE diagnosed in a woman with postmenopausal bleeding associated with several unusual hysteroscopic findings. The final diagnosis was only established after hysterectomy.…”

Section: Discussionmentioning

confidence: 90%

“…Endosalpingiosis is a rare benign condition characterized by the presence of tubal epithelium outside the Fallopian tube. 1 Endosalpingiosis has been found in the uterus, peritoneum, subperitoneal tissues, omentum, retroperitoneal nodes, bowel, appendix, and, seldom, in the bladder. 2 In analogy with endometriosis, some researchers have attributed endosalpingiosis to the ectopic implantation of Müllerian tissue within organs during pelvic surgery, namely, tubal ligation, caesarean section or other uterine and abdominal surgery.…”

Section: Introductionmentioning

confidence: 99%

“…3,4 However, the most accepted pathogenesis for endosalpingiosis is metaplastic change of coelomic cells into tubal-like epithelium. 1 The metaplastic theory may explain why some cases have been reported in the absence of gynaecological diseases or surgical history and the reason why lesions may have multiple Müllerian components reflecting lesion differentiation. 5 Endosalpingiosis has been associated with endometriosis or endocervicosis, although it often appears alone.…”

Section: Introductionmentioning

confidence: 99%

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Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published Cases

Peixinho¹,

Machado-Neves²,

Silva³

et al. 2021

Acta Med Port

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Introduction: Endosalpingiosis is a rare benign condition characterized by the presence of tubal epithelium outside the Fallopian tube. The clinical presentation of endosalpingiosis is nonspecific, and the diagnosis is typically incidental in women undergoing surgery for pelvic pain, infertility, urinary symptoms, or a pelvic mass. It can only be confirmed with histopathological examination.Case Report: We report the first case of uterine florid cystic endosalpingiosis, with unusual hysteroscopic findings. We reviewed all the published cases of uterine florid cystic endosalpingiosis and their clinical presentation including hysteroscopic characteristics. It is a rare benign condition, with only 32 cases described in the literature. This is the first hysteroscopic description of this condition to be made.Discussion: The patient first underwent a hysteroscopy and a leiomyoma resection when she was 51 years old. At 55, she went through another hysteroscopy, and a polypoid lesion was excised. A third hysteroscopy, one year later, revealed a new polypoid lesion in a similar location. After the initial incisions, this polypoid lesion disappeared. By decreasing the intrauterine pressure, it became visible again, corresponding histologically to an endometrial polyp with tubal metaplasia. At last, she underwent a laparoscopic hysterectomy with a final histopathological diagnosis of uterine florid cystic endosalpingiosis.Conclusion: Florid cystic endosalpingiosis is a rare condition that may be associated with several bizarre hysteroscopic findings.

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Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published Cases

Peixinho¹,

Machado-Neves²,

Silva³

et al. 2021

Acta Med Port

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“…Endosalpingiosis (ES) is, by definition, the presence of ectopic fallopian tube-like epithelium [ 1 ]. Distinct from endometriosis, ES is characterized by ciliated glandular epithelium, absent endometrial stroma, and usually no inflammatory component [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Vaginal Endosalpingiosis: A Case Report and Literature Review

Sabri¹,

Loxas²,

Banker³

et al. 2022

Cureus

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Endosalpingiosis is a benign condition with unclear pathogenesis and clinical significance and is defined as the presence of ectopic fallopian tube-like epithelium. It can be found in multiple locations, most commonly in the pelvic peritoneum covering the ovaries, uterus, and fallopian tubes, and less commonly found in the lymph nodes, omentum, appendix, cervix, vulva, or vagina.It is difficult to distinguish from endometriosis by gross appearance or localization, and theories propose that tissues of the secondary Mullerian system may undergo a metaplastic transformation, for example, from endosalpingiosis to endometriosis, which contributes to the debated association of endosalpingiosis with chronic pelvic pain. Additionally, there is evidence demonstrating a close association with reproductive tract neoplasms.We report the clinical course, diagnosis including pathology, follow-up, and the treatment plan of vaginal endosalpingiosis in a 34-year-old woman presenting with a chronic painful right-sided vaginal mucosal ulceration, dyspareunia, and foul-smelling vaginal discharge. To our knowledge, this is the second reported case of vaginal endosalpingiosis and the first case with this presentation.

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