Laparoscopic Finding of a Segmental Absence of the Right Fallopian Tube: A Case Report

Pascal Foumane, Valentine Fonji Aguh, Boniface Moifo, Agnès Esiene, Emilienne , Guegang, Emile Telesphore Mboudou

Abstract


Segmental absence of the fallopian tube is a finding that has been rarely described. One of such case is reported in a 26-year-old lady with six years past history of primary infertility. The anatomical abnormalities were discovered during investigations for primary infertility. The hysterosalpingography was suspicious of a left proximal obstruction of the right fallopian tube and phimosis of the right one. Absence of the right isthmo-ampullary segment and a macroscopically normal right ovary were confirmed at the laparoscopic session. Two possible scenarios are proposed. The first involves congenital absence due to a defect in the development of the corresponding portion of the right mullerian duct. Alternatively, the absence may be an asymptomatic torsion with subsequent atresia of the isthmo-ampullary segment of the uterine tubes.


Keywords


fallopian tube agenesis, fallopian tube atresia, fallopian tube obstruction, hysterosalpingography, laparoscopy, Cameroon

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References


REFERENCES

Gautier P, Benoit M, Desmons F. A propos d’un cas d’absence congénitale des trompes de Fallope. Le problème des nodosités isthmiques des trompes. J Gynecol Obstet Biol Reprod 1972; l (5 Suppl 2):410.

Chan LK. Lceton JF. A case report of bilateral absence of fallopian tubes and ovaries. Asia-Oceania J Obstet Gynecol 1997:13:260.

Rochet Y. Dargent D. L’amputation spontanée des annexes: a propos de 4 observations. Bull Fed Soc Gynecol Obstet Lang Fr 1968;20(3):285-6.

Nissen ED, Kent DR, Nissen MD et al. Unilateral tubo ovarian amputation. J Reprod Med 1977; 19:151.

Georgy FM. Viechnicki MB. Absence of an ovary and uterine tube. Obstet Gynecol 1977; 44:441.

Sebastian JA, Baker RL, Cordray D. Asymptomatic infarction and separation of the ovary and uterine tube. Obstet Gynecol 1973; 41: 531.

Smith RR, Butler WJ. Concerning torsion of the uterine adnexa occurring before puberty together with a consideration of torsion of normal adnexa: report of a case and a review of the literature since 1900. Am J Obstet Gynecol 1921; 5: 507.

James DF, Hugh RK, Barber RK et al. Torsion of normal uterine adnexa in children. Report of three cases. Obstet Gynecol 1970; 35: 226.

Dresler S. Antenatal torsion of a normal ovary and fallopian tube. Am J Dis Child 1977; 31: 236.

Auvray. Un cas de torsion spontante de la trompe et de l’ovaire normaux. Bull Soc Obstet Gynecol 1912; 1: 727.

Berger J, Sauvage P. Torsion of the ovary in young girls: Report of two cases. Ann Chir Inf 1970; 11: 235.

Lashgari M. Absence of ovary. Obstet Gynecol 1975:46:115.

Damian LS, Eutace. Eur J Obstet Gynecol Reprod Biol. 1992; 46(2): 157.

Kriplain A, Takkar D. Unexplained absence of both fallopian tubes and ovary in the omentum. Arch Gynecol Obstet 1995;256: 111


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