Fallopian tube prolapse and Chlamydia peritonitis after vaginal hysterectomy

Fallopian tube prolapse and tuboovarian abscess are both uncommon complications to hysterectomy. A 42 year-old woman who had undergone vaginal hysterectomy two years prior, presented with pain, fever, and tender polyp-like mass in the vaginal vault and pelvic mass. Surgery revealed a tuboovarian abscess. A histological examination of the mass excised from the vaginal vault confirmed presence of fallopian tube epithelium. A polymerase chain reaction analysis of the peritoneal fluid revealed the presence of Chlamydia.