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Herpetic salpingitis and fallopian tube prolapse.

T Lefrancq1, I Orain, S Michalak

  • 1Department of Pathology, Hôpital Bretonneau and Trousseau, Tours, France. lefrancq@med.univ-tours.fr

Histopathology
|June 26, 1999
PubMed
Summary

This case report details a rare instance of fallopian tube prolapse complicated by herpes simplex virus (HSV) infection. The study highlights the diagnostic challenges and implications of herpetic infections in the exposed fallopian tube.

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Area of Science:

  • Gynecologic Pathology
  • Infectious Diseases
  • Surgical Complications

Background:

  • Fallopian tubes are typically protected from infection due to their deep pelvic location.
  • Herpes simplex virus (HSV) commonly affects the lower genitourinary tract but rarely involves the fallopian tubes.

Observation:

  • A 37-year-old woman presented with a vaginal vault mass post-hysterectomy and abdominoplasty.
  • The mass was identified as a prolapsed fallopian tube.
  • Histopathological examination revealed herpes simplex virus (HSV) infection and significant cytological atypia.

Findings:

  • The study documents the first reported case of fallopian tubal prolapse with superimposed herpes simplex virus (HSV) infection.
  • Immunostaining confirmed HSV-2 infection in the herniated fallopian tube.

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  • Cytological atypia in the epithelial cells was noted, potentially mimicking malignancy.

    • Implications:

    • Fallopian tubal prolapse creates a unique clinical scenario for ascending infections, including herpetic salpingitis.
    • Careful cytological evaluation is crucial to differentiate viral cytopathic effects from neoplastic changes in such cases.
    • This case underscores the importance of considering atypical presentations of HSV infection in gynecologic surgery patients.