Histopathological features of an incidental case of cytomegalovirus salpingitis in a patient with inflammatory bowel disease

Ovarian and fallopian tube cytomegalovirus (CMV) infection is a rare finding, reported mostly in autopsy studies of immunocompromised patients. We report here a case of CMV salpingitis in a 22-year-old female, with Crohn s disease and on immunosuppressive drugs. The fallopian tube involvement by CMV infection was an incidental finding during resection of a large, matted mass involving the appendix, right ovary and right fallopian tube with bowel perforation and abscess formation. Review of literature revealed that most cases of CMV involving the fallopian tube have concurrent CMV oophoritis in pre- and postmenopausal women having pelvic inflammatory disease (PID). We concluded that fallopian tube can be involved by CMV infection in an immunocompromised patient.