title: Clinical implications of accessory fallopian tube ostium in endometriosis and primary infertility.
abstract: Several variations in fallopian tube anatomy may be noted during the evaluation of infertility. Some anatomical variants such as accessory tubal ostia are rare. A 31-year-old woman presented to our center with a 2-year history of primary infertility. Given her history of dysmenorrhea, a diagnostic laparoscopy was performed. Laparoscopy revealed a left utero-sacral endometriosis implant, which was resected. Although the left fallopian tube was normal, the right fallopian tube was noted to have two prongs with individual ostia. Tubal cannulation confirmed two separate ostia, with chromotubation showing free flow of dye through separate fimbrial ostia of the right fallopian tube. The current case highlights that accessory tubal ostia are rare müllerian duct anomalies seen during laparoscopy and can be associated with endometriois or primary infertility.
authors.affiliation: Weill Cornell Medical Center, The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, New York, NY, USA nip9060@med.cornell.edu.
authors.forename: Nigel
authors.initials: N
authors.lastname: Pereira
authors.affiliation: Weill Cornell Medical Center, The Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine, New York, NY, USA.
authors.forename: Isaac
authors.initials: I
authors.lastname: Kligman
mesh_terms: D000328:Adult; D004412:Dysmenorrhea / Q000209:etiology / Q000601:surgery*; D004715:Endometriosis / Q000150:complications*; D005184:Fallopian Tube Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005187:Fallopian Tubes / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D014599:Uterus / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery
keywords: accessory ostium; endometriosis; fallopian tube anomalies; infertility; laparoscopy; müllerian anomalies