| Journal: | Revista brasileira de ginecologia e obstetricia |
| Database: | PERIÓDICA |
| System number: | 000305216 |
| ISSN: | 0100-7203 |
| Authors: | Noviello, Mauruicio B1 Silva-Filho, Agnaldo L Santos-Filho, Admario S Candido, Eduardo B Triginelli, Sergio A |
| Institutions: | 1Universidade Federal de Minas Gerais, Faculdade de Medicina, Belo Horizonte, Minas Gerais. Brasil |
| Year: | 2003 |
| Season: | Nov-Dic |
| Volumen: | 25 |
| Number: | 10 |
| Pages: | 749-751 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Caso clínico |
| English abstract | Fallopian tube prolapse is a rare complication after hysterectomy, with approximately 80 cases described in the literature. The symptoms are nonspecific including vaginal bleeding, dyspareunia and chronic pelvic pain. The differential diagnosis must be done with granulation tissue of the vaginal cuff and vaginal carcinoma. The treatment should be individualized, and is possible to be done by vaginal, abdominal or laparoscopic approach. We report a case of a 47-year-old woman with myoma who was submitted to a vaginal hysterectomy and evolved with fallopian tube prolapse 11 months after surgery. Specular examination showed a fungating, friable and bleeding lesion at the vaginal cuff. The clinical findings suggested the diagnosis of fallopian tube prolapse. The patient was submitted to a new surgical intervention with resection of the left fallopian tube. The histologic examination confirmed the diagnosis and the patient evolved with complete remission of the symptoms |
| Portuguese abstract | O prolapso de tuba uterina é complicação rara após histerectomia, com aproximadamente 80 casos descritos na literatura. A sintomatologia é inespecífica, podendo incluir sangramento genital, dispareunia e dor pélvica crônica. O diagnóstico diferencial deve ser feito com granuloma de cúpula vaginal e carcinoma de vagina. O tratamento deve ser individualizado, podendo ser realizado por via vaginal, abdominal ou laparoscópica. Relatamos o caso de uma paciente, 47 anos, com miomatose uterina, submetida a histerectomia vaginal, evoluindo com prolapso de tuba uterina após 11 meses de pós-operatório. O exame especular evidenciava lesão vegetante, friável e sangrante localizada na cúpula vaginal. Esses achados clínicos sugeriam o diagnóstico de prolapso de tuba uterina. A paciente foi submetida a nova intervenção cirúrgica, com ressecção da tuba uterina por via vaginal. O exame natomopatológico confirmou o diagnóstico e a paciente evoluiu com remissão completa da sintomatologia |
| Disciplines: | Medicina |
| Keyword: | Ginecología y obstetricia, Trompas de Falopio, Histerectomía, Complicaciones postoperatorias, Histerectomía vaginal |
| Keyword: | Medicine, Gynecology and obstetrics, Fallopian tubes, Hysterectomy, Postoperative complications, Vaginal hysterectomy |
| Full text: | Texto completo (Ver HTML) |
