Post salpingectomy intraluminal endometriosis in a premenopausal lady - an incidental finding often paid less attention to

Kanna Sandhyarani, Archana Shetty, Bhargavi Kalburgi Nagabhushan, Aparna Muralidhar, Jessica Minal, Nikhil Moorchung
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2021 · vol. 10(3) , pp. 1221 · doi:10.18203/2320-1770.ijrcog20210768 · W3134070645
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes the incidental histopathological finding of post-salpingectomy intraluminal endometriosis in a perimenopausal woman operated on for uterine fibroids.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

The paper reports a case of post–salpingectomy intraluminal endometriosis found incidentally in a peri-menopausal woman who underwent surgery for multiple uterine fibroids, years after tubal ligation. It discusses the condition as endometriosis occurring at the tip of the proximal stump of the fallopian tube after salpingectomy/tubal ligation, noting that radiologic visualization alone is inadequate and that histopathology is required for confirmation. The authors emphasize that post-salpingectomy endometriosis is underrecognized because routine grossing may pay little attention to the fallopian tube during tissue processing, with a key limitation being the report’s single-case nature. This paper is centrally about endometriosis — specifically post-salpingectomy intraluminal endometriosis discovered incidentally after tubal ligation, with adenomyosis not discussed.

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Abstract

Endometriosis of the fallopian tube is often incidentally picked up in hysterectomy specimens that are sent for histopathological examination for other obvious pathological conditions. Post-salpingectomy endometriosis is one such entity that is known to occur in the tip of the proximal stump of the fallopian tube years after tubal ligation. As mere visualization of the endometriotic lesions is inadequate for an accurate diagnosis, histopathologic analysis of the biopsy samples becomes mandatory for confirmation. We report a case of post salpingectomy endometriosis which was incidentally discovered in a peri menopausal lady who was operated for multiple fibroids of the uterus. This case not only highlights an entity which is challenging to visualize radiologically and suspect clinically, but is also underrecognized, as very little attention is given to the fallopian tube during routine grossing.
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Post salpingectomy intraluminal endometriosis in a premenopausal lady - an incidental finding often paid less attention to DOI: https://doi.org/10.18203/2320-1770.ijrcog20210768Keywords: Post salpingectomy, Endometriosis, Tubal ligation, HistopathologyAbstract Endometriosis of the fallopian tube is often incidentally picked up in hysterectomy specimens that are sent for histopathological examination for other obvious pathological conditions. Post-salpingectomy endometriosis is one such entity that is known to occur in the tip of the proximal stump of the fallopian tube years after tubal ligation. As mere visualization of the endometriotic lesions is inadequate for an accurate diagnosis, histopathologic analysis of the biopsy samples becomes mandatory for confirmation. We report a case of post salpingectomy endometriosis which was incidentally discovered in a peri menopausal lady who was operated for multiple fibroids of the uterus. This case not only highlights an entity which is challenging to visualize radiologically and suspect clinically, but is also underrecognized, as very little attention is given to the fallopian tube during routine grossing. Metrics References Ramaswamy A.S., Manjunatha H.K. Post-salpingectomy endometriosis. J Lab Physician 2009;1(2):84-5. Rezvani M, Shaaban AM. Fallopian tube disease in the nonpregnant patient. Radiographics 2011;31(2):527-48. Tandon RK, Pandya SP, Darad D, Chugh A, Bhuva K. Laparoscopic scar – laparoscopic tubal ligation: A rare case report. J Clin Diagn Res 2012;6(4):707-8. Hill CJ, Fakhreldin M, Maclean A, Dobson L, Nancarrow L, Bradfield A et al. Endometriosis and the Fallopian Tubes: Theories of Origin and Clinical Implications. J Clin Med 2020;9(6):1905. Xue RH, Li J, Huang Z, Li ZZ, Chen L, Lin Q et al. Is tubal endometriosis an asymmetric disease? A 17-year retrospective study. Arch Gynecol Obstet 2020;301(3):721-7. Chakrabarti I., Ghosh N. Post-salpingectomy endometriosis: An under-recognized entity. J Midlife Heal 2010;1(2):91-2. Xia W, Zhang D, Ouyang J, Liang Y, Zhang H, Huang Z et al. Effects of pelvic endometriosis and adenomyosis on ciliary beat frequency and muscular contractions in the human fallopian tube. Reprod Biol Endocrinol 2018;16(1):48. Garcia-Velasco JA. Fallopian tube endometriosis: clinical implications. Fertil Steril 2020;114(5): 966. Stock RJ. Histopathologic changes in fallopian tubes subsequent to sterilization procedures. Int J Gynecol Pathol 1983;2:13-27. Magdy N, El-Bahrawy M. Fallopian tube: Its role in infertility and gynecological oncology. World J Obstet Gynecol 2014;3(2):35-41.

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