Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published Cases

Authors

  • Catarina Peixinho Department of Gynaecology and Obstetrics. Hospital Pedro Hispano. Matosinhos.
  • Raquel Machado-Neves Department of Pathology. Hospital Pedro Hispano. Matosinhos.
  • Pedro Tiago Silva Department of Gynaecology and Obstetrics. Hospital Pedro Hispano. Matosinhos.
  • João Bernardes Department of Gynaecology and Obstetrics. Hospital Pedro Hispano. Matosinhos. Department of Gynaecology and Obstetrics. Faculty of Medicine. Universidade do Porto. Porto.
  • Ana Catarina Silva Department of Radiology. Hospital Pedro Hispano. Matosinhos.
  • Teresina Amaro Department of Pathology. Hospital Pedro Hispano. Matosinhos.

DOI:

https://doi.org/10.20344/amp.14292

Keywords:

Fallopian Tube Diseases/diagnosis, Fallopian Tube Diseases/therapy, Gynecologic Surgical Procedures

Abstract

Introduction: Endosalpingiosis is a rare benign condition characterized by the presence of tubal epithelium outside the Fallopian tube. The clinical presentation of endosalpingiosis is nonspecific, and the diagnosis is typically incidental in women undergoing surgery for pelvic pain, infertility, urinary symptoms, or a pelvic mass. It can only be confirmed with histopathological examination.
Case Report: We report the first case of uterine florid cystic endosalpingiosis, with unusual hysteroscopic findings. We reviewed all the published cases of uterine florid cystic endosalpingiosis and their clinical presentation including hysteroscopic characteristics. It is a rare benign condition, with only 32 cases described in the literature. This is the first hysteroscopic description of this condition to be made.
Discussion: The patient first underwent a hysteroscopy and a leiomyoma resection when she was 51 years old. At 55, she went through another hysteroscopy, and a polypoid lesion was excised. A third hysteroscopy, one year later, revealed a new polypoid lesion in a similar location. After the initial incisions, this polypoid lesion disappeared. By decreasing the intrauterine pressure, it became visible again, corresponding histologically to an endometrial polyp with tubal metaplasia. At last, she underwent a laparoscopic hysterectomy with a final histopathological diagnosis of uterine florid cystic endosalpingiosis.
Conclusion: Florid cystic endosalpingiosis is a rare condition that may be associated with several bizarre hysteroscopic findings.

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Published

2021-12-02

How to Cite

1.
Peixinho C, Machado-Neves R, Silva PT, Bernardes J, Silva AC, Amaro T. Hysteroscopic Findings Related with the Assessment and Treatment of Uterine Florid Cystic Endosalpingiosis: A Case Report and Review of All the Published Cases. Acta Med Port [Internet]. 2021 Dec. 2 [cited 2024 Jun. 21];34(12):868-73. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/14292

Issue

Section

Case Report