Journal of Human Reproductive Science
Home Ahead of Print Current Issue Archives
   Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size    Users online: 693

CASE REPORT Table of Contents   
Year : 2008  |  Volume : 1  |  Issue : 1  |  Page : 35-36

Duplication of the fallopian tube

Departments of Obstetrics and Gynecology, Sanjeevani Hospital and Maternity Home, Kovai Road, Annur, Coimbatore, Tamil Nadu, India

Date of Submission04-Nov-2007
Date of Decision16-Nov-2007
Date of Acceptance04-Jan-2008
Date of Web Publication24-Mar-2008

Correspondence Address:
M A Rajeev
Sanjeevani Hospital, 69/4, Kovai Road, Annur, Tamil Nadu
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-1208.38971

Rights and Permissions



Hysterosalpingography accurately delineates the uterine and tubal lumen, and hence is routinely performed for the evaluation of infertility.We observed a case of infertility where uterine cavity was normal but fallopian tubes were bifurcated at the ampullary region. Mullerian duct anomalies are reported in literature, but maldevelopment of fallopian tube in isolation is rare. This abnormality can present as infertility, ectopic pregnancy, in association with urinary tract anomalies or as failure of sterilisation method.

Keywords: Congenital, fallopian tube, hysterosalpingography, infertility, mullerian duct anomaly, partial duplication, tubal pregnancy

How to cite this article:
Narayanan R, Rajeev M A. Duplication of the fallopian tube. J Hum Reprod Sci 2008;1:35-6

How to cite this URL:
Narayanan R, Rajeev M A. Duplication of the fallopian tube. J Hum Reprod Sci [serial online] 2008 [cited 2023 Mar 29];1:35-6. Available from:

Anatomy of the female reproductive tract is to be outlined properly in the evaluation of infertility and more importantly in sterilisation procedures for medico-legal reasons. It provides the most accurate outline of uterine cavity and gives images of the lumen of  Fallopian tube More Details. [1] We report a case where hysterosalpingogram revealed a rarely observed anomaly.

   Case History Top

A 25-year-old woman reported to the hospital with inability to conceive even after 6 years of marriage. She has no previous history of conception. She is not tuberculous, diabetic or hypertensive. She gives history of having had left lower ureteric calculus which was cured with hydration and diuretics and analgesics. She does not have any cardiac, renal or endocrine disturbances. There is no history of pelvic inflammatory diseases or intrauterine contraceptive device implantation. The patient is not obese. She has well-developed secondary sexual characters. Gynaecological examination revealed no obvious abnormalities. Her haematological investigation reports were within normal limits (Haemoglobin 11 g percentage, total count 8400 cell per cubic millimetre, differential count showed polymorph 56%, lymphocytes 42% and eosinophils 2%, erythrocyte sedimentation rate 12 mm in the first hour).

An ultrasound scan of the abdomen and pelvis revealed no anomaly. The procedure was done using Colvin's cannula for pushing the dye, Urograffin (Urograffin was manufactured and marketed by German Remedies and contains sodium and meglumine diatrizoate 60%, which has iodine content 292 mg/mL). Two films were taken: one after pushing 3 mL and the other after 7 mL of the dye. The film showed the uterine cavity contour to be normal without any filling defects. The fallopian tubes on both sides were visualised. The left fallopian tube bifurcated at the ampullary region, with free spillage of dye at both ends of the split tubes [Figure - 1]. The right tube was visualised to be normal and patent.

After the procedure, the lady was prescribed ampicillin and metronidazole. Intravenous pyelogram and skeletal survey were done afterwards and they did not reveal any other abnormalities.

   Discussion Top

Mullerian duct anomalies are described, [2] commonly but maldevelopment of fallopian tube in isolation is rare. [3] In the case described, we report unilateral duplication of fallopian tube with normal looking uterus and fallopian tube on the opposite side. This type of anomaly was thought to be the cause of infertility in our patient. The incidental finding of tubal duplication in HSG in our case report was reported to highlight the potential anatomical variations of fallopian tubes especially in this era of litigation.It may present as tubal pregnancy or as infertility as in our patient.It was also to emphasise as a potential reason of failure of sterilisation procedure. [4]

The importance of this documentation is to be noted in this era of litigation when one of the duplicated fallopian tubes may be missed in a postpartum sterilisation procedure.

This sort of defect can present as infertility as in our case or as tubal pregnancy.

There are reports [5] of significantly increased pregnancy rate after hysterosalpingography with the use of oil-based dye compared to water soluble contrast media. We highlight the value of hysterosalpingogram in the evaluation of anatomy of female genital tract and in the investigation of infertility. After the re-emergence of this method in the evaluation of infertility in 1980s, it has still retained value even with the usage of newer imaging and interventional techniques. [1] It is useful in delineating anatomy of uterus, tubes and tubal patency. Further, it is cost-effective and done in rural clinical settings with limited access to procedures like hysteroscopy.

   References Top

1.Yoder IC, Hall DA. Hysterosalpingography in the 1990's. AJR Am J Roentgenol 1991;157:675-83.  Back to cited text no. 1    
2.Moore KL, Persaud TV. The developing human clinically oriented embryology, 6 th ed. WB Saunders Company: Singapore; 1999.p. 339-40.  Back to cited text no. 2    
3.Ritchie AC. Boyd's textbook of Pathology, 9 th ed. Lea and Febinger: Philadelphia; 1990. p. 1316.  Back to cited text no. 3    
4.Carter D. Gynaecology and Obstetrics. WF Proir Company Inc: Hagerstown, Maryland; 1980. p. 8.  Back to cited text no. 4    
5.Rasmuseen F, Hindequist S, Larsen C, Justensen P. Therapeutic effects of hysterosalpingeography: Oil versus water-based soluble contrast media: A randomised prospective study. Radiology 1991;179:175.  Back to cited text no. 5    


  [Figure - 1]

This article has been cited by
1 Accessory fallopian tube –A rare anomaly
Manish R Pandya, Ghanshyam K Gorvadiya, Jeel A Modesara
Indian Journal of Obstetrics and Gynecology Research. 2023; 10(1): 88
[Pubmed] | [DOI]
2 The Overview of Anatomical Variations and Congenital Anomalies of the Uterine Tubes and Their Impact on Fertility
M Csöbönyeiová, M Klein, C Feitscherová, L Pavlíková, D Kachlík, I Varga
Physiological Research. 2022; 71(Suppl. 1): S35
[Pubmed] | [DOI]
3 A case report of uterine extension from uterine fundus to the anterior abdominal wall
M.G. Sagoo, T.J. Shaw, S. Scandrett, Y. Premakumar, P. Carter
Translational Research in Anatomy. 2021; 22: 100087
[Pubmed] | [DOI]
4 Isolated Torsion of Accessory Fallopian Tube in a Young Adolescent
Misgav Rottenstreich, Noam Smorgick, Moty Pansky, Zvi Vaknin
Journal of Pediatric and Adolescent Gynecology. 2016; 29(4): e57
[Pubmed] | [DOI]


Print this article  Email this article


    Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
  Related articles
    Article in PDF (106 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  

    Case History
    Article Figures

 Article Access Statistics
    PDF Downloaded311    
    Comments [Add]    
    Cited by others 4    

Recommend this journal