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| Hematosalpinx | |
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| Laparoscopic view, looking from superiorly to inferiorly in the peritoneal cavity which has been pumped up with carbon dioxide gas to visualize theuterus (marked byblue arrows). On the left fallopian tube there is anectopic pregnancy and hematosalpinx (marked byred arrows). The right tube is normal. | |
| Specialty | Urology  |
Hematosalpinx (sometimes alsohemosalpinx) is a medical condition involving bleeding into thefallopian tubes.
A hematosalpinx from a tubal pregnancy may be associated with pelvic pain and uterine bleeding. Agynecologic ultrasound will show the hematosalpinx. A hematosalpinx from other conditions may be painless but could lead to uterine bleeding.
A number of causes may account for a hematosalpinx, by far the most common being atubal pregnancy. Blood may also escape into the peritoneal cavity leading to ahemoperitoneum.A hematosalpinx can also be associated withendometriosis ortubal carcinoma. Further, if menstrual blood flow is obstructed (cryptomenorrhea), caused for instance by atransverse vaginal septum, and gets backed up it may lead to a hematosalpinx.
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Diagnosis may include, but is not limited to, ultrasound, magnetic resonance imaging (MRI) and laparoscopy.
Treatment is directed at the underlying condition and is usually surgical.