Laparoscopic management of transcervical fallopian tube prolapse

Abstract

Introduction: Fallopian tube prolapse (FTP) is a rare butincreasingly recognized postoperative complication of totalhysterectomy, but few reports relate FTP to supracervicalhysterectomy.Case: A 35-year-old, G2P2, patient with a history of recurrentfibroid prolapse received a supracervical hysterectomy.One week postoperatively, she was treated forinfection, and 1 month later a scheduled Pap smear returnedbenign results and noted a rare cluster of glandularcells. Two months after the hysterectomy, the patientpresented to the outpatient clinic with vaginal dischargeand dyspareunia. The patient was diagnosed with FTPand was treated with total salpingectomy using a combinedvaginal and laparoscopic approach.Conclusion: Transcervical FTP is a rare complicationfollowing supracervical hysterectomy. Increasing awarenessof the condition will allow for fewer delays in diagnosisand treatment. A laparoscopic total salpingectomyprovides effective treatment with minimal invasiveness. © 2011 by JSLS, Journal of the Society of Laparoendoscopic Surgeons.