Summary of five cases with preoperative diagnosis and postoperative pathologic results Age Preoperative diagnosis (years) Case 1 38 Tubal torsion + hydrosalpinx Case 2 49 Tubal torsion + paratubal cyst Case 3 30 Tubal torsion Case 4 32 Tubal torsion + paratubal cyst Case 5 28 Tubal torsion + paratubal cyst Surgery Pathology result Case 1 Laparoscopic detorsion + paratubal cyst excision Benign serous cyst Case 2 Laparoscopic salpingectomy Hydrosalpinx Case 3 Laparoscopic salpingectomy Dilated fallopian tube Case 4 Laparoscopic salpingectomy Paratubal benign cyst Case 5 Laparoscopic salpingectomy Hematosalpinx
+ paratubal benign cyst
Hydrosalpinx noted in 40 cases, pyosalpinx, endometriosis, hematosalpinx
, torsion constituted a small percentage of cases.
Patients with communicating and Non-communicating cavitary rudimentary horns are at increased risk for developing endometriosis, hematometra and hematosalpinx
, adenomyosis, and ectopic pregnancies in the rudimentary horn with subsequent rupture of that horn.
Early diagnosis and management of this condition is essential to prevent to avoid gynecological and obstetrical complications like hematometra, hematosalpinx
, endometriosis, ectopic pregnancy and torsion.
Resolution is possible when initial [beta]-hCG concentration is <1000 IU/L and hemoperitoneum <50ml with a hematosalpinx
of <2 cm.
CAPSULE: Hematosalpinx with hemoperitoneum is a rare combination seen only after rupture or impending rupture of hematosalpinx.
We present a rare case of hematosalpinx with torsion at its pedicle with hemoperitoneum who presented with acute abdomen.
On laparotomy there was left sided hematosalpinx (10x8x5) cm with three twists at its pedicle and about 200ml hemoperitoneum.
DISCUSSION: Hematosalpinx is usually reported in case of ectopic pregnancy (1).
In our case the exact cause of hematosalpinx cannot be made.
Bilateral hematosalpinx in case of ectopic pregnancy: a clinical dilemma.
Serous borderline tumour of the fallopian tube presented as hematosalpinx: a case report.