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Introduction: Isolated fallopian tube torsion (IFTT) is an exceedingly rare but serious cause of acute abdominal pain, especially in pediatric patients, with a reported prevalence of 1 in 1.5 million women. It occurs when the fallopian tube twists around its own axis, leading to venous and lymphatic obstruction, ischemia, and potential necrosis, without involving the ipsilateral ovary.

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Prolapsed fallopian tube to the vagina after hysterectomy a year ago: A case report.

Taiwan J Obstet Gynecol

January 2025

Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung 40203, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung 40203, Taiwan.

Objective: 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.

Case Report: 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.

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Background: Ectopic pregnancy, occurring outside the uterine cavity, poses a significant health risk, with Fallopian tube involvement being predominant. Recurrent ectopic pregnancy, particularly in the ipsilateral remnant of a previously removed tube, is a rare and poorly understood phenomenon. Here, we present a case of recurrent ectopic pregnancy occurring in the distal remnant of the right fallopian tube following ipsilateral incomplete salpingectomy in a 22-year-old woman.

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Posterior Colpotomy in Ectopic Pregnancy Management: A 12-Year Surgical Analysis.

Cureus

November 2024

Gynecology and Obstetrics, Unidade Local de Saúde do Médio Ave, Vila Nova de Famalicão, PRT.

Introduction And Objective: The management of ectopic pregnancies has evolved from traditional laparotomy to minimally invasive techniques, with posterior colpotomy emerging as a viable alternative. This study explores the safety and efficacy of posterior colpotomy in tubal ectopic pregnancy management.

Methods: A retrospective analysis of 16 cases employing posterior colpotomy for ectopic pregnancy treatment was conducted from 2009 to 2021.

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Article Synopsis
  • - A rare case of right interstitial pregnancy occurred in a 32-year-old woman who had previously undergone a salpingo-oophorectomy, leading to an emergency room visit due to suspected ectopic pregnancy.
  • - After various diagnostic procedures, including ultrasound and hysteroscopy, the patient underwent a successful robot-assisted laparoscopic surgery to remove the interstitial pregnancy while preserving her fertility.
  • - The exact cause of this rare pregnancy is unclear, but it may involve fertilization in the intact tube and possible changes in the remaining tubal tissue that allowed the oocyte to implant.
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