Fallopian Tube Malformations
Introduction
The fallopian tube develops from a separate section at the upper end of the two accessory mesonephroid tubes and is therefore much less likely to be malformed than the uterus, cervix or vagina. However, anomalies (anomalies of the Fallopian tube) are occasionally seen clinically and some complications, such as ectopic pregnancy, can lead to death if not diagnosed. Although fallopian tube malformations are rare, there are many types. Fallopian tube malformation can be divided into developmental disorders caused by malformation (absence or hypoplasia) and repeated malformation (auxiliary fallopian tube, etc.) two categories.
Classification of fallopian tube malformations:
1. Absence of fallopian tubes:
Agenesis of the Fallopian tube is divided into primary and secondary causes. The primary aetiology is unknown, such as the absence of one side of the fallopian tube, the whole accessory middle renal tube on this side has not been formed, so the ipsilateral uterus and cervix cannot be formed, manifested by the development of the opposite side of the accessory middle renal tube formed a single horn uterus and fallopian tube. The absence of both fallopian tubes almost coexisted with the presence or absence of a uterus and was closely related to the failure of the development of the bilateral accessory mesonephroid tubules.
Secondary unilateral fallopian tube deficiency is associated as usual with ipsilateral ovarian malformation (ootestes or testes) and renal hypoplasia and contralateral monohorned uterus. It is extremely rare to have a fallopian tube malformation without other congenital urogenital tract malformations. The cause of unilateral fallopian tube or adnexa absence without uterine or renal malformations is thought to be torsion of the fallopian tube or adnexa followed by necrosis.
2. Medial agenesis of the fallopian tube:
The medial agenesis of the fallopian tube is more common on the medial agenesis of the fallopian tube and between the isthmus and the ampulla. The appearance of the absence of the middle fallopian tube is similar to that of laparoscopic tubal electrocoagulation sterilization, and there is no specific change in the proximal uterine and peripheral segments except for the continuity of the fallopian tube which is several centimeters long. Histopathological examination revealed calcification of the fallopian tubes and focal fibrous connective tissue hyperplasia, formation of small cystic Spaces, and loss of muscle tissue and fallopian tubes. The cause of the absence of the middle fallopian tube is not clear at present. It can be congenital or acquired, such as the consequence of tubal pregnancy or tubal torsion necrosis.
3. Fallopian tube dysplasia
Hypoplasia of the fallopian tube often coexists with gonadal dysplasia, hermaphroditism and other reproductive tract malformations. Underdeveloped fallopian tubes, also known as juvenile fallopian tubes, can also be seen in the absence of serious pathological changes in the internal genitalia, such as uterine dysplasia alone.
4. Fallopian diverticulum
Congenital diverticula of the fallopian tube is commonly seen in the ampulla of the fallopian tube, the origin of which is unclear. Pregnant eggs are easy to be planted here, resulting in abortion or rupture of tubal ampullary pregnancy.
5. Accessory fallopian tube
the incidence of accessory fallopian tube (deutotube of the Fallopian tube) is about 5‰. Its appearance is stem-like, single or multiple, mostly extending from the ampulla of the fallopian tube, about 1~3cm long, unilateral or bilateral, and the end is shaped like an umbrella. Accessory fallopian tube by vascular rich connective tissue and smooth muscle tissue composition, texture is tough, generally not connected with the normal fallopian tube cavity, in its attachment was blind end. A very few accessory tubal lumens are communicated with normal tubal lumens. The existence of accessory oviduct can affect the normal oviduct oviduct collecting function, and has a certain relationship with the occurrence of tubal pregnancy. The mechanism of the occurrence of accessory oviduct has not been clear so far.
6. Double fallopian tubes:
Duplication of the Fallopian tubes can occur on either side and the mechanism of occurrence is unknown. Double fallopian tube lumen, more in the vicinity of the horn confluence and uterine cavity. The appearance of the double fallopian tube is similar, the same organisational structure is different from the accessory fallopian tube. There are few literature reports, which seems to have little effect on fertility.
Diagnosis of fallopian tube malformation
Because the fallopian tube is located in the pelvic cavity, some pathological changes of the fallopian tube cannot be diagnosed by general examination. Also due to the non-specific clinical symptoms and gynecological palpation, laboratory examination is also non-specific, so in clinical practice, fallopian tube malformation is usually detected and diagnosed by laparoscopy or laparotomy for infertility and uterine malformation, or by ectopic pregnancy abortion or rupture operation.
Antai Hospital’s treatment for fallopian tube malformation
The existence of accessory fallopian tube can affect the oviduct gathering function of normal fallopian tube, and has a certain relationship with the occurrence of tubal pregnancy, so the preventive treatment of accessory fallopian tube resection is feasible. For tubal diverticulum, because pregnant eggs are easy to be implanted here, pregnancy abortion or rupture of tubal ampulla can occur, and micro-endoscopic salpingoplasty or salpingectomy can be performed according to the patient’s fertility requirements. At present, there is no effective treatment for tubal, tubal and tubal absence. For fallopian tubes without an oviduct, salpingostomy is feasible; for fallopian tubes lacking in the middle part, microanastomosis is feasible, as the fallopian tube recanalizes after sterilisation, with a certain success rate.
Antai Hospital’s Commitment
Antai Hospital’s full refund policy for the miscarriage prevention treatments we provide should already be the best guarantee for a healthy pregnancy. Patients should rest assured, can and should go about their everyday life, focusing their diet on vegetables, beans, celery, and other fiber-rich foods. Besides that, an active lifestyle of yoga and swimming should also be incorporated to help relieve stress and increase blood circulation, which is beneficial for the fetus’s development and the mother’s health. With our assurance, a healthy lifestyle, and peace of mind, you can go through a healthy pregnancy with no complications.
Recurrent miscarriages are no doubt a heavy blow to the patient’s physical and mental health. All we can do is to help ease the burden and decrease your trauma, to slowly help you overcome the anxiety with the love and care that we provide at Antai Hospital.
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