Year 4 student Catherine Shutt attended the recent North of England Obstetrical and Gynaecological Scientific Conference, held at St James' Hospital in Leeds, and presented an abstract on a case of bilateral absence of fallopian tubes and right ovary, co-authored and presented with HYMS graduate and current F1 doctor Anna Stansfeld.
The impetus for the paper arose whilst Catherine was studying Obstetrics and Gynaecology at Scarborough Hospital and spent some extra time in theatre with consultant Miss Verma. There she encountered some cases of congenital anomalies of the female genital tract and decided to write them up as a case series.
Catherine's aim, with the help of Anna, Miss Verma and Dr Stephen Enye, is to eventually achieve journal publication for her case series. She decided to take this particular abstract to conference as there are very few cases of bilateral absence of the fallopian tubes in the literature at present.
"A CASE OF BILATERAL ABSENCE OF FALLOPIAN TUBES - A RARE PRESENTATION IN PRIMARY SUBFERTILITY"
C. G. Shutt, A. Stansfeld, S. Enye & K. Verma
Bilateral absence of the fallopian tubes and the absence of one ovary, without complete Müllerian aplasia has rarely been reported. Due to such rarity, the incidence of bilateral agenesis of the fallopian tubes has not been estimated. However as of 1992, only two cases of bilateral absence had ever been recorded. Possible aetiology suggested is asymptomatic torsion of both adnexes during adult life or childhood, or even before birth. Alternatively, the absence may be congenital, due either to a defect in the development of the entire Müllerian and Mesonephric systems on both sides, or to a defect localised to the region of the genital ridge and the caudal part of the Müllerian duct. The presentation in either case is primary subfertility. The mainstay of diagnosis is laparoscopy.