Fallopian tube prolapse after laparoscopic resection of pelvic endometriosis.
BACKGROUND
Fallopian tube prolapse is an unusual but often reported complication after hysterectomy. This problem has not yet been reported in a patient undergoing laparoscopy but not hysterectomy.


METHODS
Fallopian tube prolapse was diagnosed in a patient after laparoscopic excision of pelvic endometriosis, without hysterectomy. The prolapsed fallopian tube was preserved by laparoscopic retrieval from the vagina and closure of the vaginoperitoneal fistula.


CONCLUSIONS
Laparoscopic surgery, when associated with the creation of a vaginoperitoneal fistula, is a risk factor for fallopian tube prolapse. This problem can be diagnosed and safely managed with a laparoscopic approach.
Rosenthal
David M
DM
Department of Obstetrics and Gynecology, North York General Hospital, Toronto, Ontario, Canada. drosenth@nygh.on.ca
Cheung
Vincent Y T
VY
D000328:Adult; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000601:surgery*; D005184:Fallopian Tube Diseases / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D011391:Prolapse; D014624:Vaginal Fistula / Q000175:diagnosis / Q000209:etiology / Q000473:pathology