Tubal Cyst Following Tubal Sterilization: A Delayed Complication

Ho‐Hsiung ‐H Lin, Wen‐Jang ‐J Hwang, Hong‐Nerng ‐N Ho, Fon‐Jou ‐J Hshieh, Tzu‐Yao ‐Y Lee, Shu‐Wen ‐W How

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Abstract

Clinical pictures and histopathological findings in 15 patients of tubal cyst following tubal sterilization were analyzed. The interval between tubal sterilization and occurrence of tubal cyst was 10 years (ranged from 4 to 21 years). Clinically 8 cases (53%) suffered from lower abdominal pain, 5 cases (33%) from hypermenorrhea coexistent with uterine myoma and 2 cases (13%) from irregular menstruation. Five out of 9 patients with ultrasound examination were suspected to have tubal cyst before operation. The size of tubal cyst ranged from 1.5 to 9.0 cm in diameter with mean 3.4 cm. Eleven were unilateral and 4 were bilateral. Histologically they showed flattened mucosal epithelial cells with absence of epithelial plica, compression atrophy of muscular layer, suture stitch or granuloma and intact fimbria with clear serous fluid. Thus, the differential diagnosis of adnexal cyst in patients with a past history of tubal sterilization should include tubal cyst.

Original languageEnglish
Pages (from-to)271-276
Number of pages6
JournalAsia‐Oceania Journal of Obstetrics and Gynaecology
Volume15
Issue number3
DOIs
Publication statusPublished - Jan 1 1989
Externally publishedYes

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Keywords

  • delayed complication
  • tubal cyst
  • tubal sterilization

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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