Bilateral absence of fallopian tube segments: an uncommon co
Congenital abnormalities of fallopian tube are rare among the abnormalities of female urogenital system. Bilateral absence of fallopian tube segments is an extremely uncommon condition. Published in the International Journal of Reproduction, Contraception, Obstetrics and Gynecology, the authors report one such rare case diagnosed during diagnostic laparoscopy during evaluation of infertility.

A 37-years old female presented to with history of inability to conceive despite unprotected regular intercourse for one and half years. She had no history of abdomino-pelvic surgery or acute pelvic pain and her menstrual cycles were regular within 28 to 32 days intervals. There was no history of dysmenorrhea, dyspareunia and no history suggestive of pelvic inflammatory disease or endometriosis. On pelvic examination, the external genitalia, vagina and cervix was normal. The uterus was normal sized, mobile.

Basic infertility workup of the couple was normal except sono-salpingography which demonstrated that bilaterally the fluid could not go beyond the cornua. It was decided to perform diagnostic hystero-laparoscopy. Hysteroscopy demonstrated that the cavity was normal. Endometrium appeared normal. Left ostium was seen but right one could not be visualized. On diagnostic laparoscopy, there was absence of ampullary portion of the right fallopian tube simulating a formal tubal ligation.

On the left side, the tube was absent. The uterus was unicornate with rudimentary horn on right side. The ultrasound abdomen did not reveal any renal anomaly. The patient was referred for in vitro fertilization and she conceived after two cycles. She had an uneventful antenatal period and delivered a healthy child by caesarean section.

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