Tubal endometriosis mimicking an ectopic pregnancy

Abstract

It was fortunate that the woman could recognise that she had expelled only a part of the IUCD. If she had missed it she could have had various complications. The transverse limb of the coil could have entered the fallopian tube and caused a tubal perforation. This type of perforation would be possible in a single horizontal smooth arm IUCD (nova T type) and the horizontal arm of the broken IUCD would behave in the same manner. This would also have left the surgeon in a dilemma as to where the vertical limb of the IUCD was. It is important to ensure that IUCD has been expelled intact and no parts are remaining. ReferencesGoldstuck N.D. (1987) Insertion forces with intrauterine devices:implications for uterine perforation.

Tubal Endometriosis: From Bench to Bedside, A Scoping Review

“…A total of 13 studies were finally considered eligible for inclusion [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. Among them, four were observational, which included a total of 633 patients and mainly focused on the prevalence of tubal EM among patients with various gynecological diseases, as well as on disease-related characteristics and histopathology [ 16 , 17 , 18 , 19 ], while two studies focused on analyzing the genetic profile of patients with tubal EM [ 20 , 21 ].…”

“…Among them, four were observational, which included a total of 633 patients and mainly focused on the prevalence of tubal EM among patients with various gynecological diseases, as well as on disease-related characteristics and histopathology [ 16 , 17 , 18 , 19 ], while two studies focused on analyzing the genetic profile of patients with tubal EM [ 20 , 21 ]. The remaining seven studies were case reports [ 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. The main patient and disease characteristics of the included observational studies are shown in Table 1 .…”

“…The literature search revealed a total of 7 case reports during the study period [ 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. Table 2 depicts the main patients’ and disease-related characteristics from case reports.…”

Tubal Endometrioma Within a Twisted Fallopian Tube: A Clinically Complex Diagnosis

“…Indeed, in some cases a preoperative differential diagnosis with other pelvic diseases such as pyelonephritis, ectopic pregnancy, pelvic inflammatory disease, and hydrosalpinx was difficult. 13,15,17 An accurate preoperative work-up is necessary to locate endometriotic lesions and to ensure a complete surgical removal. The poor predictive value of the pelvic examination was demonstrated in a study conducted by Nezhat et al 18 regarding 91 patients with surgically confirmed endometriosis, of whom 47% had a normal bimanual examination.…”