Tubal fimbria migration mimicking an endometrial polyp following Iatrogeniterine perforation

A 26-year-old woman, gravida 3, para 2, presented to our clinic with irregular groin pain and vaginal bleeding. Her obstetric history includes a missed abortion for which she underwent dilation and curettage (D&C) two years ago. Her symptoms began three months following this procedure. Her medical history was otherwise unremarkable. A transvaginal ultrasound (TVUSG) revealed a suspected endometrial polyp, located near the uterine fundus. During the operative hysteroscopy, we identified a highly vascularized structure with small finger-like projections filling almost the entire endometrial cavity, which did not resemble a typical endometrial polyp (Figure 1). We performed complete resection of this structure using a 27 Fr bipolar resectoscope with a 2.5mm cutting loop. At the end of the procedure, we detected a uterine perforation (UP) but otherwise observed an unremarkable uterine cavity (Figure 2). Subsequently, we performed a simultaneous diagnostic laparoscopy for exploration and to diagnose the condition encountered. The laparoscopy revealed a normal right fallopian tube. However, the left fallopian tube lacked fimbriae, and there was a perforation at the uterine fundus towards the left side. We mobilized the left fallopian tube, confirming the presence of the left fimbriae within the endometrial cavity