Background: Fallopian tube prolapse (FTP), following hysterectomy, is a rare complication and it can either occur after abdominal, vaginal, or laparoscopic surgeries. It is difficult to determine the related risk factors, thus the existing data comprise case reports or case series including approximately 100 patients. Case presentation: A 42-years-old woman who had a vaginal hysterectomy 5 months ago presented with vaginal discharge. Examination revealed a 1 cm hyperemic granuloma-like lesion on the apex of the vaginal cuff. Vaginal approach was undertaken under sedative anesthesia and after dissection fallopian tubal prolapse appeared. The patient recovered uneventfully in 2 weeks. Conclusion: Since hysterectomy is the most common gynecologic surgical intervention, it is important to be aware of even uncommon complications. The clinical presentation can vary by the portion of prolapsed tubal segment into the vaginal cavity and it can be misdiagnosed as vaginal vault granuloma, especially if a very small portion of tubal segment has prolapsed.

Keywords: Hysterectomy, fallopian tube, prolapse, vagina