Laparoscopic Approach to an Uncommon Adnexal Neoplasm Associated with Infertility: Serous Cystadenofibroma of the Fallopian Tube
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This case report details the laparoscopic management of a rare serous cystadenofibroma in the fallopian tube, which was associated with a patient's infertility.
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Abstract
A rare case of serous cystadenofibroma of the fallopian tube was discovered during evaluation for in vitro fertilization-embryo transfer. Bilateral tubal occlusion was noted on hysterosalpingogram, and a right adnexal cyst, initially thought to be of ovarian origin, was identified by office transvaginal sonography. Laparoscopy revealed a 5.5-cm, fluid-filled mass involving the distal aspect of the right fallopian tube. Both ovaries and uterine exterior appeared grossly normal. The cyst was decompressed and removed intact without incident through a 5-mm laparoscopic cannula. The mass showed histologic features consistent with benign serous cystadenofibroma. The patient had an uncomplicated postoperative convalescence and continued to do well 3 months after surgery.
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