Congenital Absence of the Fimbria with Deformity of the Ampullae of the Fallopian Tube

Abstract

Abstract

Background: Congenital segmental absence of the Fallopian tube is a rare finding. These cases are diagnosed by hysterosalpingogram as tubal obstructions. Pathology evaluation of the excised Fallopian tube will confirm the etiology. Case: A 23-year-old female with a history of recurrent miscarriages and secondary infertility had a complete evaluation performed. A hysterosalingogram revealed an abnormal left Fallopian tube with dilated ampulla. Laparoscopy confirmed the presence of a hydrosalpinx. The tube was removed. Results: This patient recovered completely and was able to achieve pregnancy. Pathology testing revealed absent fimbria, an intact epithelial lining, and the absence of any evidence of inflammatory disease or endometriosis. Conclusions: This is a rare case of congenital absence of the tubal fimbria resulting in tubal obstruction. The presence of an intact epithelial lining without any evidence of inflammation supports the congenital absence of the fimbria. (J GYNECOL SURG 31:177)