JSLS : Journal of the Society of Laparoendoscopic Surgeons · 2011
Laparoscopic management of transcervical fallopian tube prolapse.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Bedaiwy Mohamed A, Kho Melanie F, Patel Pragna, Melton Tia
Аннотация
INTRODUCTION: Fallopian tube prolapse (FTP) is a rare but increasingly recognized postoperative complication of total hysterectomy, but few reports relate FTP to supracervical hysterectomy.
CASE: A 35-year-old, G2P2, patient with a history of recurrent fibroid prolapse received a supracervical hysterectomy. One week postoperatively, she was treated for infection, and 1 month later a scheduled Pap smear returned benign results and noted a rare cluster of glandular cells. Two months after the hysterectomy, the patient presented to the outpatient clinic with vaginal discharge and dyspareunia. The patient was diagnosed with FTP and was treated with total salpingectomy using a combined vaginal and laparoscopic approach.
CONCLUSION: Transcervical FTP is a rare complication following supracervical hysterectomy. Increasing awareness of the condition will allow for fewer delays in diagnosis and treatment. A laparoscopic total salpingectomy provides effective treatment with minimal invasiveness.
CASE: A 35-year-old, G2P2, patient with a history of recurrent fibroid prolapse received a supracervical hysterectomy. One week postoperatively, she was treated for infection, and 1 month later a scheduled Pap smear returned benign results and noted a rare cluster of glandular cells. Two months after the hysterectomy, the patient presented to the outpatient clinic with vaginal discharge and dyspareunia. The patient was diagnosed with FTP and was treated with total salpingectomy using a combined vaginal and laparoscopic approach.
CONCLUSION: Transcervical FTP is a rare complication following supracervical hysterectomy. Increasing awareness of the condition will allow for fewer delays in diagnosis and treatment. A laparoscopic total salpingectomy provides effective treatment with minimal invasiveness.