Eosinophilic Salpingitis

Chronic salpingitis presents with various inflammatory patterns due to different causes. Eosinophil-rich salpingitis is rare and primarily associated with parasitic infestations. We aim to report our findings of eosinophil-rich salpingitis in a series of women who presented with ruptured hemorrhagic ovarian corpus luteum cysts and tubal schistosomiasis accompanied by ectopic tubal pregnancies. Eight women (age range: 31–40 yr, average age: 34 yr) met the inclusion criteria for eosinophil-rich salpingitis. The tubes showed a dense eosinophilic infiltrate throughout the tubal wall with edema and hemosiderin pigment deposition. The mucosal plicae were broadened due to vascular congestion, edema, and conspicuous eosinophilic infiltrates with siderophages. Luminal hemorrhage was present. Six patients had ipsilateral ruptured hemorrhagic ovarian corpus luteum cysts with ruptured tubal ectopic pregnancies, whereas 2 patients had Schistosoma ova in the tube. The close proximity of the tubal fimbriae to the ovary suggests that the tubal cavity is a potential reservoir of the extruded contents from ruptured hemorrhagic luteal cysts. Theoretically, the engulfed contents could move down the tubal lumen, adhere to the epithelium, and elicit an allergic inflammatory reaction in the tubal mucosa and mural wall. This phenomenon may play a role in postinflammatory fibrous adhesion and ectopic pregnancies. Eosinophilic salpingitis is a rare, unilateral, localized, secondary inflammatory reaction of the fallopian tubes. Apart from parasitic infestations, an inflammatory response to ruptured hemorrhagic corpus luteum cysts should be considered as a potential association when other causes are excluded. Certain histopathologic features may provide clues to this association. Further validation is warranted to determine whether these findings are associations or mere coincidences. Eosinophilic Salpingitis Plain Language SummaryThis study examines eosinophil-rich salpingitis, a rare type of fallopian tube inflammation, in eight women aged 31-40. The condition was linked to ruptured hemorrhagic ovarian corpus luteum cysts and tubal schistosomiasis, often accompanied by ectopic pregnancies. The fallopian tubes showed dense eosinophilic infiltration, edema, and hemosiderin deposition, with luminal hemorrhage. Six women had ruptured cysts and ectopic pregnancies, while two had Schistosoma ova in their tubes. The study suggests that contents from ruptured cysts may trigger allergic inflammation in the tubes, potentially leading to fibrous adhesions and ectopic pregnancies. Further research is needed to confirm these findings. Text is machine generated and may contain inaccuracies. FAQ