Congenital interruption between the ampulla and fimbria of the fallopian tube: case report

AJOG global reports Pub Date : 2024-05-01 DOI:10.1016/j.xagr.2024.100353

Xiaotong Dong MD , Shengrui Zhao MM , Peng Liu MM , Qian Yu MD , Lei Yan MD

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Abstract

We reported 5 patients with unilateral or bilateral tubal discontinuity between the ampulla and fimbria, occasionally detected through laparoscopy combined with hysteroscopy at the Reproductive Hospital Affiliated with Shandong University from 2017 to 2023. Three cases were observed to have this malformation on the left fallopian tube, 1 case on the right side, and 1 case bilaterally. None of these cases were combined with urological malformations. After surgery, there was 1 instance of postoperative delivery, 1 ongoing pregnancy, and 3 not yet conceived. The congenital ampulla and fimbria interruption of the fallopian tube may be independent of other significant deformities of reproductive or renal tracts. However, it can lead to hydrosalpinx and primary or secondary infertility. Surgical management options, such as salpingostomy, salpingectomy, and tubal ligation, have shown the potential to improve pregnancy outcomes.

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先天性输卵管安瓶和输卵管缘之间的中断：病例报告

我们报告了2017年至2023年山东大学附属生殖医院5例通过腹腔镜联合宫腔镜检查偶见的单侧或双侧输卵管安瓿与缘膜间不连续的患者。其中，3 例左侧输卵管畸形，1 例右侧输卵管畸形，1 例双侧输卵管畸形。这些病例均未合并泌尿系统畸形。手术后，1 例术后分娩，1 例正在妊娠，3 例尚未受孕。先天性输卵管安瓿和峡部中断可能与生殖道或肾道的其他重大畸形无关。然而，它可能导致输卵管积水和原发性或继发性不孕。手术治疗方案，如输卵管造口术、输卵管切除术和输卵管结扎术，已显示出改善妊娠结局的潜力。

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来源期刊

AJOG global reports Endocrinology, Diabetes and Metabolism, Obstetrics, Gynecology and Women's Health, Perinatology, Pediatrics and Child Health, Urology

CiteScore

1.20

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0.00%

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