Fallopian tube prolapse presenting as a peritoneovaginal fistula.
BACKGROUND
Peritoneovaginal fistula is an extremely rare cause of persistent vaginal leakage following a hysterectomy. Likewise, fallopian tube prolapse is an uncommon but known complication of hysterectomy. Fallopian tube prolapse resulting in peritoneal leakage has yet to be reported in the literature.


METHODS
A 27-year-old female presented with a two year history of continuous leakage per vagina. The leakage started shortly after an abdominal hysterectomy. Examination noted clear fluid emanating from a vaginal lesion located at the level of the vaginal cuff. An extensive workup ruled out vesicovaginal and ureterovaginal fistula. Surgical exploration noted that the lesion was a prolapsed fallopian tube, which was resected vaginally.


CONCLUSIONS
This is the first reported case of peritoneovaginal fistula associated with a prolapsed fallopian tube.


CONCLUSIONS
Vaginal resection of the fallopian tube remnant and reclosure of the vaginal cuff results in cure of the leakage.
Ingber
Michael S
MS
Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Firoozi
Farzeen
F
Goldman
Howard B
HB
Moore
Courtenay K
CK
Vasavada
Sandip P
SP
Rackley
Raymond R
RR
D000328:Adult; D003937:Diagnosis, Differential; D005184:Fallopian Tube Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects* / Q000379:methods; D010537:Peritoneum; D011183:Postoperative Complications; D011391:Prolapse; D016896:Treatment Outcome; D014624:Vaginal Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*