IS Case 168: Right hydrosalpinx
Imaging Sciences URMC 2008
Publication Date: 2009-05-21
Patient is an 35-year-old woman with infertility.
Hydrosalpinx is an obstructed and fluid distended fallopian tube. The common causes include sexually transmitted diseases (STD) infections leading to pelvic inflammatory disease, previous pelvic surgery, IUD, or endometriosis. Hydrosalpinx can remain undetected until a woman presents for evaluation of infertility.
Hydrosalpinx is best evaluated by HSG revealing a distended fallopian tube without peritoneal spillage. Treatment options include recanalization by attempting to pass a wire in the interventional radiology suite versus salpingoostomy using laparoscopic approach.
- Ott D, Fayez JA, Zagoria RJ. Hysterosalpingography: A Text and Atlas. Lippincott Williams & Wilkins; 2 ed., 1998: 89-91.