Lin Yu-Hsuan, Shen Huang-Ping, Tseng Chih-Jen, Wu Liang-Ying, Hsia Li-Hsin
Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung 40203, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung 40203, Taiwan.
Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung 40203, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung 40203, Taiwan.
Taiwan J Obstet Gynecol. 2025 Jan;64(1):155-158. doi: 10.1016/j.tjog.2024.04.021.
This case report aims to present a rare occurrence of fallopian tube prolapse into the vaginal vault following hysterectomy, underscoring the importance of recognizing this uncommon complication.
A 45-year-old woman, with a history of hysterectomy for adenomyosis, presented with symptoms mimicking a vaginal tumor, including persistent discharge, abdominal pain, postcoital bleeding, and weight loss. Imaging raised concerns of malignancy, but surgery revealed a prolapsed fallopian tube with chronic inflammation. This case highlights the diagnostic challenges, with less than 100 reported instances. Differential diagnoses encompassed diverse pelvic pathologies, necessitating histological confirmation. Factors contributing to prolapse include poor vault closure and early sexual activity. Awareness of this complication is pivotal when evaluating post-hysterectomy symptoms, ensuring precise diagnosis and appropriate management.
Fallopian tube prolapse into the vaginal vault is a rare post-hysterectomy complication. Early recognition and accurate diagnosis are essential for effective management of patients presenting with post-hysterectomy symptoms, such as vaginal bleeding and discharge.
本病例报告旨在呈现子宫切除术后输卵管脱垂至阴道穹窿这一罕见情况，强调认识这一罕见并发症的重要性。
一名45岁女性，有因子宫腺肌病行子宫切除术的病史，出现类似阴道肿瘤的症状，包括持续分泌物、腹痛、性交后出血和体重减轻。影像学检查引发了对恶性肿瘤的担忧，但手术发现是一条脱垂且伴有慢性炎症的输卵管。该病例凸显了诊断挑战，报告的病例不到100例。鉴别诊断包括多种盆腔病变，需要组织学确诊。导致脱垂的因素包括穹窿闭合不佳和过早进行性行为。在评估子宫切除术后症状时，认识到这一并发症至关重要，可确保准确诊断和适当治疗。
输卵管脱垂至阴道穹窿是一种罕见的子宫切除术后并发症。早期识别和准确诊断对于有效处理出现子宫切除术后症状（如阴道出血和分泌物）的患者至关重要。
