HISTOPATHOLOGICAL CHANGES ASSOCIATED WITH ECTOPIC TUBAL PREGNANCYAbstract
Aim: The aim of this prospective study was to know the variable histopathological changes in the fallopian tube after having ectopic gestation and its correlation with predisposing factors.
Materials and Methods: 100 fallopian tubes having ectopic gestation for study group and
25 fallopian tubes received after sterilization operation for control group submitted in department of pathology between Jan. 2007- March 2009 were included. The conventional H&E stained microsections were prepared from specimen for extensive study. The sections were examined histopathologically for various pathological lesions by standard criteria.
Results: Acute salpingitis was found in 18% of patients. Chronic salpingitis and follicular salpingitis was seen in 39% of patients, while chronic salpingitis with salpingitis isthmica nodosa was found in only 8% of patients. Vessels were sclerotic in 8% of cases. Calcification was found in 7% cases. No case of tuberculosis and endometriosis was observed in our study group.
Conclusion: Pelvic inflammatory disease, Salpingitis isthmica nodosa, Acute and Chronic salpingitis are predisposing factors for ectopic tubal gestation.