Open Access

CASE REPORT

Fallopian tube prolapse presenting as a peritoneovaginal fi stula

Michael S. Ingber, Farzeen Firoozi, Howard B. Goldman, Courtenay K. Moore, Sandip P. Vasavada, Raymond R. Rackley

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, USA
Address correspondence to Dr. Michael Ingber, Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, Q10-1, Cleveland, OH 44195 USA

Canadian Journal of Urology 2010, 17(2), 5117-5119.

Abstract

Introduction: 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.
Clinical case: 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.
Discussion: This is the first reported case of peritoneovaginal fistula associated with a prolapsed fallopian tube.
Conclusion: Vaginal resection of the fallopian tube remnant and reclosure of the vaginal cuff results in cure of the leakage.

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