Fertility and sterility · 2008
Does the fimbria have an embryologic origin distinct from that of the rest of the fallopian tube?
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Garrett Leslie A, Vargas Sara O, Drapkin Ronny, Laufer Marc R
Аннотация
OBJECTIVE: To propose a new theory describing the development of the fallopian tube fimbria.
DESIGN: Case series report.
SETTING: Metropolitan tertiary care children's hospital.
PATIENT(S): Two girls, aged 12 and 20 years, who presented with pelvic pain.
INTERVENTION(S): Magnetic resonance imaging, laparoscopy with salpingectomy, and pathologic analysis.
MAIN OUTCOME MEASURE(S): Description of a novel theory regarding the embryologic development of the fallopian tube and its fimbria.
RESULT(S): In two non-sexually active girls the cause of their pelvic pain was found to be a hydrosalpinx associated with a discontinuous fallopian tube in which the fimbriated end did not directly communicate with the remainder of the fallopian tube.
CONCLUSION(S): The two cases of pure congenital fallopian tube atresia, the presence of fimbriae in patients with müllerian (uterine, cervical, and vaginal) agenesis, and the role of the fimbria in ovarian-like and peritoneal cancers, support a novel hypothesis that the fimbria of the fallopian tube may arise separately from the rest of the tube.
DESIGN: Case series report.
SETTING: Metropolitan tertiary care children's hospital.
PATIENT(S): Two girls, aged 12 and 20 years, who presented with pelvic pain.
INTERVENTION(S): Magnetic resonance imaging, laparoscopy with salpingectomy, and pathologic analysis.
MAIN OUTCOME MEASURE(S): Description of a novel theory regarding the embryologic development of the fallopian tube and its fimbria.
RESULT(S): In two non-sexually active girls the cause of their pelvic pain was found to be a hydrosalpinx associated with a discontinuous fallopian tube in which the fimbriated end did not directly communicate with the remainder of the fallopian tube.
CONCLUSION(S): The two cases of pure congenital fallopian tube atresia, the presence of fimbriae in patients with müllerian (uterine, cervical, and vaginal) agenesis, and the role of the fimbria in ovarian-like and peritoneal cancers, support a novel hypothesis that the fimbria of the fallopian tube may arise separately from the rest of the tube.