Post-salpingectomy Endometriosis

A. S. Ramaswamy, As Ramaswamy, Hk Manjunatha
Journal of laboratory physicians · 2009 · vol. 1(02) , pp. 084–085 · doi:10.4103/0974-2727.59708 · PMID:21938259 · PMC3167977 · W2011293719
article OA: gold CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper investigated the occurrence and characteristics of endometriosis after salpingectomy, a surgical procedure to remove the fallopian tubes.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper reports a 43-year-old woman with menorrhagia and an enlarged uterus who underwent hysterectomy with bilateral salpingo-oophorectomy after presumed fibroids; she had been tubectomized by the Pomeroy technique with a 2 cm gap and no cautery. Histopathology showed total replacement of the fallopian tube endosalpinx epithelium by endometrial glands with accompanying stroma extending into the myosalpinx, with glands appearing functionally inactive and findings consistent with proliferative-phase endometrium and intramural/subserosal leiomyomata. The authors diagnose post-salpingectomy endometriosis of the fallopian tubes and review related concepts, including proposed origins such as misdirected sprouting/metaplasia versus repeated menstrual reflux, along with differential diagnoses like salpingitis isthmica nodosa and primary tubal adenocarcinoma; they note a limitation that routine hysterectomy specimen processing may under-sample and under-report such tubal morphological variations. This paper is centrally about endometriosis—specifically post-salpingectomy endometriosis of the fallopian tubes and its distinction from related entities, directly relevant to endometriosis research.

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Abstract

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endometriosis

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