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Case report of an un‐usually large hematosalpinx
Author(s) -
Sulaman Hira,
Hussain Syeda Areeba,
Nawaz Shahnaz,
Anwar Amina
Publication year - 2021
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14714
Subject(s) - medicine , endometriosis , ectopic pregnancy , pelvic inflammatory disease , iliac fossa , pelvic pain , pathophysiology , ovarian cyst , emergency department , pregnancy , pelvic endometriosis , gynecology , surgery , cyst , pathology , genetics , psychiatry , biology
Hematosalpinx is the accumulation of blood in fallopian tubes. Its most common cause is ectopic pregnancy, but the other causes include pelvic inflammatory disease (PID), endometriosis and pelvic trauma. We report a rare case of hematosalpinx in a 45‐year‐old female with no obvious cause. She presented with acute sharp right iliac fossa pain not relieving with analgesics. She did not have a history of fever, PID, endometriosis, or trauma. Her menstrual cycle was also normal and β‐hcG was negative. Ultrasound showed the right ovarian cyst and was suggesting of hemorrhagic. She was operated and a large hematosalpinx was observed. This rare case suggests the possibility of Hematosalpinx in the mid‐40s besides ruling out the possibility of some of the causes hypothesized in the relevant literature. The case highlights the need to better understand the pathophysiology of hematosalpinx.