June 6th, 2020

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Congenital Absence of the Fimbria with Deformity of the Ampullae of the Fallopian Tube: A Case Report
Authors:  Kimberlyn Detrick, D.O., Steve Landas, M.D., and Shawky Z. A. Badawy, M.D.
BACKGROUND: Congenital segmental absence of the fallopian tube is rare. These cases present by hysterosalpingogram as tubal obstruction. Gross and pathologic evaluation of the excised fallopian tube will confirm the etiology.

CASE: A 23-year-old woman with a history of recurrent miscarriages and secondary infertility had a complete evaluation. Hysterosalpingogram revealed an abnormal left fallopian tube with dilated ampulla. Laparoscopy confirmed the presence of hydrosalpinx. The tube was removed. Pathology revealed absent fimbria, intact epithelial lining, and absence of any evidence of inflammatory disease, scarring process, or endometriosis.

CONCLUSION: This is a case of congenital absence of the tubal fimbria resulting in tubal obstruction. The presence of intact epithelial lining without evidence of inflammation supports congenital absence of fimbria.
Keywords:  congenital ampullary atresia; fallopian tube oviduct; fallopian tube; fallopian tubes/ abnormalities; fallopian tubes/pathology; hysterosalpingography; infertility, female/congenital; infertility, female/diagnosis; laparoscopy; tubal obstruction
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