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Unilateral Partial Absence of the Fallopian Tube in a Female Patient With Infertility: A Case Report and Literature Review

Overview
Journal Cureus
Date 2023 Feb 1
PMID 36721610
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Abstract

Unilateral partial absence of the fallopian tube is rare, and its clinical importance in fertility is unclear. A 35-year-old nulligravid female patient with infertility was suspected to have a left hydrosalpinx on hysterosalpingography and sonography. Therefore, the patient underwent diagnostic laparoscopy. The left fallopian tube lacked the ampullary portion, and its proximal end had a hydrosalpinx. A left salpingectomy was performed, and the pathological finding was a unilateral partial absence of the ampullary portion of the fallopian tube with hydrosalpinx. Postoperatively, she conceived via in vitro fertilization-embryo transfer-and delivered a healthy baby. Hydrosalpinx is a well-known cause of infertility and can develop due to the partial absence of a fallopian tube. Furthermore, salpingectomy may be effective in improving fertility in female patients with a unilateral partial absence of the fallopian tube.

References
1.
Yazawa H, Yabe M, Endo S, Hayashi S . A case of congenital unilateral partial absence of fallopian tube. Fukushima J Med Sci. 2011; 56(1):44-9. DOI: 10.5387/fms.56.44. View

2.
Tsiami A, Chaimani A, Mavridis D, Siskou M, Assimakopoulos E, Sotiriadis A . Surgical treatment for hydrosalpinx prior to in-vitro fertilization embryo transfer: a network meta-analysis. Ultrasound Obstet Gynecol. 2016; 48(4):434-445. DOI: 10.1002/uog.15900. View

3.
Orvieto R, Saar-Ryss B, Morgante G, Gemer O, Anteby E, Meltcer S . Does salpingectomy affect the ipsilateral ovarian response to gonadotropin during in vitro fertilization-embryo transfer cycles?. Fertil Steril. 2010; 95(5):1842-4. DOI: 10.1016/j.fertnstert.2010.11.061. View

4.
Strandell A, Lindhard A . Why does hydrosalpinx reduce fertility? The importance of hydrosalpinx fluid. Hum Reprod. 2002; 17(5):1141-5. DOI: 10.1093/humrep/17.5.1141. View

5.
Johnson N, van Voorst S, Sowter M, Strandell A, Mol B . Surgical treatment for tubal disease in women due to undergo in vitro fertilisation. Cochrane Database Syst Rev. 2010; (1):CD002125. PMC: 7154223. DOI: 10.1002/14651858.CD002125.pub3. View