Bilateral tubal incarceration into the broad ligaments caused by pelvic endometriosis: A case report

Francesca Massimello, Andrea Giannini, Linda Tebache, Michelle Nisolle, Tommaso Simoncini
In: Journal of Endometriosis and Pelvic Pain Disorders · 2021 · vol. 13(4) , pp. 266–270 · doi:10.1177/22840265211038197 · W3208524606
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report details a 38-year-old infertile woman with endometriosis causing bilateral tubal incarceration into the broad ligaments, confirmed histologically after bilateral salpingectomy.

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Abstract

Introduction: Endometriosis is characterised by the presence of functional endometrial tissue outside the uterus. Salpinges are a common location of endometriotic implants. Endometriosis located into the broad ligament is a rare event. Case description: A 38-year-old infertile woman presented to our attention with moderate left iliac fossa pain after menses and intermenstrual bleeding. Transvaginal ultrasounds and pelvic magnetic resonance evidenced the presence of bilateral haematosalpinges. At the laparoscopic pelvic exploration, fallopian tubes were absent. Opening and dissecting the apical portion of the broad ligaments, we identified bilateral haematosalpinges incarcerated in the homolateral broad ligaments. We performed bilateral salpingectomy. Histological examination confirmed the presence of endometriosis. Conclusion: Care must be taken to the diagnostic assessment, counselling about the surgical programme before the intervention especially in patients during the reproductive period when the possibility of ablative surgery and subsequent need for an assisted reproductive technique exists.

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endometriosis

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