Ischemic fallopian tube necrosis with hydatid of Morgagni secondary to post‑caesarean intra‑abdominal adhesions entrapment in the 36th week of pregnancy: A case report and mini‑review of the literature

Thanasa,Anna; Thanasa,Efthymia; Antoniou,Ioannis-Rafail; Xydias,Emmanouil; Ziogas,Apostolos; Leroutsos,Alexandros; Chasiotis,Athanasios; Paraoulakis,Ioannis; Thanasas,Ioannis

doi:10.3892/mi.2025.231

Ischemic fallopian tube necrosis with hydatid of Morgagni secondary to post‑caesarean intra‑abdominal adhesions entrapment in the 36th week of pregnancy: A case report and mini‑review of the literature

Authors:
- Anna Thanasa
- Efthymia Thanasa
- Ioannis-Rafail Antoniou
- Emmanouil Xydias
- Apostolos Ziogas
- Alexandros Leroutsos
- Athanasios Chasiotis
- Ioannis Paraoulakis
- Ioannis Thanasas
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Affiliations: Department of Health Sciences, Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece, Department of Obstetrics and Gynecology, General Hospital of Trikala, 42100 Trikala, Greece, Department of Obstetrics and Gynaecology, EmbryoClinic IVF, 55133 Thessaloniki, Greece, Department of Medicine, University of Thessaly, School of Health Sciences, 41334 Larissa, Greece
Published online on: April 1, 2025 https://doi.org/10.3892/mi.2025.231
Article Number: 32
Copyright : © Thanasa et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].

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Abstract

Surgical adhesions in the pelvis are a well‑known complication following cesarean sections. The present study describes a unique case involving acute intra‑abdominal inflammation due to ischemic necrosis of the fallopian tube with a hydatid of Morgagni, resulting from entrapment in post‑operative adhesions and leading to preterm labor. The patient described herein, a woman in her 36th week of pregnancy with a history of two prior lower‑segment cesarean sections, presented with diffuse abdominal pain escalating in intensity and intermittent vomiting. A diagnosis of preterm labor was established, prompting a decision to proceed with cesarean section. The procedure was uneventful, revealing numerous post‑operative pelvic adhesions intraoperatively. Further examination revealed ischemic necrosis of the left fallopian tube with a small hydatid of Morgagni, attributed to entrapment due to an adhesion, with no involvement of the left ovary. Upon dissecting the adhesion, tubal perfusion was promptly restored. A decision was made to preserve the affected fallopian tube and perform surgical drainage of the hydatid of Morgagni. Both the mother and newborn were discharged in excellent condition from the clinic on the 4th post‑operative day. The case descrbied herein underscores the rarity of preterm labor resulting from ischemic tubal necrosis with a hydatid of Morgagni, secondary to post‑cesarean section adhesions. It emphasizes the importance of an intraoperative examination for tubal and ovarian conditions to detect surgical adhesions and underscores the value of preoperative diagnosis and the prevention of post‑operative adhesions in pregnant women undergoing cesarean section.

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