Fallopian tubes & broad ligament

Fallopian tube nontumor


Last author update: 1 August 2013
Last staff update: 13 October 2023

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PubMed Search: Fallopian tubes prolapse

Nicole D. Riddle, M.D.
Jamie Shutter, M.D.
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Cite this page: Riddle N, Shutter J. Prolapse. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/fallopiantubesprolapse.html. Accessed May 19th, 2024.
Definition / general
  • Turning of tubes inside out, back into vaginal vault or even more rarely into bladder or uterine cavity
  • Rare (less than 100 cases reported), ~80% occur after vaginal hysterectomy (0.5% incidence), presumed due to nonclosure of vaginal vault
  • 0.06% incidence after abdominal hystertecomy, less frequent with interposition or colpotomy
  • Associated factors include postoperative fever, hematoma formation / failure to maintain adequate hemostasis, poor physical condition, insufficient preoperative vaginal preparation, difficultly with surgical procedure, use of intraperitoneal vaginal drains and packs
Clinical features
  • Occurs two months to eight years after surgery
  • May present with watery vaginal discharge, lower abdominal pain, dyspareunia
Case reports
  • Surgical excision
Gross description
  • Polypoid mass resembling granulation tissue, visible at vaginal apex
Microscopic (histologic) description
  • Normal ciliated fallopian tube epithelium with variable surrounding fibrosis, edema, chronic inflammation
Microscopic (histologic) images

Images hosted on other servers:

Fallopian tubal epithelium thrown into papillary folds

Fallopian tube lining
of pseudostratified
ciliated columnar

Cytology description
  • May be seen on Pap smears
  • Columnar cells with cilia and sheets of cells with small granular uniform nuclei in an orderly arrangement; also inflammatory cells and reactive atypia (Diagn Cytopathol 2013;41:146)
Differential diagnosis
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