Indian Journal of Obstetrics and Gynecology Research


CYSTIC ENDOSALPINGOSIS OF THE UTERUS PRESENTING AS PROLAPSE UTERUS-A VERY RARE CASE


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Author Details: Prashant Joshi, Raksha Madhu

Volume : 2

Issue : 1

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 39

Article End Page : 42


Abstract

A 40 year old lady P3L3 tubectomised, presented to us in routine gynaec OPD with complaints of mass per vagina since 2 years. Patient is a known case of HTN & DM on treatment. On examination, moderately built and nourished lady, on per speculum examination second degree uterine descent with cystocele, on bimanual examination uterus retroverted, mobile, atrophic, bilateral fornices free, cervical mobility non tender. On ultrasound uterus is retroverted, postmenopausal status, ovaries normal. Impression – prolapsed uterus. Patient underwent Vaginal Hysterectomy with cystocele repair. Intraoperatively, we found a cyst 7Χ7 cm arising from the uterine fundus, cyst containing serous fluid, no continuity with endometrial cavity with congested blood vessels seen on the inner surface. Uterus, tubes and ovaries was normal. Histological examination showed cyst arising from serosal surface of uterine fundus, uniloculated. One of the cut sections of the cyst showed fallopian tubal epithelium embedded in the cyst wall. Uterine endometrium shows senile cystic atrophy and cervix shows chronic polypoidal endocervicitis. A diagnosis of “Cystic Endosalpingosis of the uterus” was made. The case is reported because of its great rarity and difficult diagnosis.

Keywords: Endosalpingosis, uterine serosa, unilocular cyst.