Three patients underwent salpingectomy due to large tubal dilation associated with
hematosalpinxs. One patient underwent hysterectomy three months after the septum exeresis due to infectious complications, one underwent salpingectomy and oophorectomy due to tube ovarian abscess, and one patient was submitted to salpingectomy due to pyosalpinx associated with rudimentary horn exeresis.
The progression of torsion causes
hematosalpinx, tubal rupture, and peritubal hematomas, which become more complicated and harder to diagnose.
Los diagnosticados por hematometra,
hematosalpinx, dismenorrea son el 54 %, y por endometriosis, el 14 %.
Hematometra and
hematosalpinx occurred in some more severely affected patients, as well as bleeding in the periadnexal and peritoneal space.
TABLE 1 Predictive score for successful treatment of ectopic pregnancy Predictive score for expectant management and several nonsurgical treatments (Fernandez 1991) CRITERION 1 POINT 2 POINTS 3 POINTS [beta]-hCG (mIU/mL) <1000 1000-5000 >5000 Progesterone (ng/mL) <5 5-10 >10 Abdominal pain Absent Induced Spontaneous
Hematosalpinx (cm) <1 1-3 >3 Hemoperitoneum (mL) 0 1-100 >100 Score <12: 80% success with various nonsurgical treatments, including expectant management.
Uterus didelphys with unilateral obstructed hemivagina with hematometrocolpos and
hematosalpinx with ipsilateral renal agenesis.
Uterus didelphys with unilateral obstructed hemi vagina with hematometrocolpos and
hematosalpinx with ipsilateral renal agenesis.
MRI can show the level of obstruction of antegrade menstrual flow in women with functioning endometrium as well as depict findings of retrograde menstruation such as
hematosalpinx or endometriosis.
Patients who have a unicornuate uterus with a rudimentary horn have an increased incidence of gynecologic problems and tend to present at menarche or later in life with symptoms consisting of dysmenorrhea, chronic pelvic pain, hematometra, and
hematosalpinx most commonly related to endometriosis.
hemorrhagic cyst Peritoneal fluid Case 7 Twisted isolated right Hemorrhagic and necrotic
Hematosalpinx fallopian tube with normal ovary Case 8 Right Tubo-ovarian Hemorrhagic cyst, torsion and hemorrhagic necrotic ovary cyst Case 9 Large fibroid with Large intramural fibroid cystic degeneration arising from posterior wall of uterus.
* Left fallopian tube showing
hematosalpinx of 5x2 cms.
[7] As an obstructing vaginal malformation, this condition precludes the outflow of menstruation, resulting in hematocolpos, hematometra, and
hematosalpinx. The diagnosis is therefore usually made soon after menarche due to symptoms related to the obstructed hemivagina, such as pelvic pain, dysmenorrhoea and a palpable pelvic mass.