Tubal fimbria migration mimicking an endometrial polyp following Iatrogeniterine perforation
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Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier
Access Rights
info:eu-repo/semantics/embargoedAccess
Abstract
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
Description
Keywords
Dilation and Curettage (D&C), Transvaginal Ultrasound
Journal or Series
Tubal Fimbria Migration Mimicking an Endometrial Polyp Following Iatrogenic Uterine Perforation
