Fimbrial Cyst

Fimbria is a Latin word which means fringe and in medical science it refers to the fringe of tissues in the fallopian tube leading to the ovary. Cysts that develop in the fimbria are known as fimbrial cysts. Fallopian tubes have a very significant role in the female reproductive system. When egg matures it is released from the ovary. The released egg starts moving to the uterus through the fallopian tubes. But before they reach the uterus they are intercepted by the sperm in the fallopian tube causing fertilization to take place. The embryo so formed is transported to the uterus by the fallopian tube and when they reach the destination they are implanted there. Cysts formed in the passage of the fallopian tubes like fimbrial cysts may block the passage of the egg, the sperm and the embryo causing serious obstruction to their movement which may result in infertility.

Symptoms

Pain in the lower abdomen which may be intermittent or constant
Pain while engaging in sexual activity
Abnormal bleeding and irregularity during menstrual periods
Swelling in the abdomen

Diagnosis

From the study of the symptoms and medical history of the patient, surgeon will be able to arrive at a preliminary diagnosis regarding the existence of cysts. But exact diagnosis regarding the location, size and types of the cysts can be ascertained only after undergoing other diagnostic tests like X-rays, laparoscopic diagnostic tests, ultra sound tests, MRI scanning etc. But in the case of fimbrial cyst, a laparoscopic test will be the best option as this will help the surgeons to get a clear view of the cyst.

Treatment options

Wait and watch: This is the normal treatment option in case of other cysts. But this approach is not suitable in the case of fimbrial cysts, as delay in taking precautionary measures can lead to torsion of the fallopian tube which will result in further complications.
Surgical procedure: Surgical procedure to remove the cysts and bring back the fallopian tubes to its original position after removing the twist has to be done immediately. This procedure can be done through the traditional open surgery. Another procedure known as laparoscopic procedure or minimally invasive procedure is the commonly used procedure for removing the fimbrial cysts.
In this procedure a laparoscope is inserted through a small incision near the naval and other special instruments for carrying out the surgery are inserted through other small incisions in the abdomen. With the help of the laparoscope the surgeon will be able to see the videos of the fallopian tube and other nearby structures in a video screen placed in front of him. Seeing this video the surgeon carries out the surgery controlling the special instruments through the controls of them which are near him. The cysts are removed by using electric cautery or by making use of ultra sonic sound or laser beams. Cryogenic technology is sometimes used to super cool the cysts which will remove the cysts.