Case report of an un‐usually large hematosalpinx

Hira Sulaman, Syeda Areeba Hussain, Shahnaz Nawaz, Amina Anwar
Journal of Obstetrics and Gynaecology Research · 2021 · vol. 47(5) , pp. 1914–1916 · doi:10.1111/jog.14714 · PMID:33611857 · W3132323905
article OA: closed CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes an unusually large hematosalpinx in a 45-year-old woman presenting with acute pelvic pain, highlighting the need to understand its pathophysiology beyond common causes.

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Abstract

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.

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Condition tags

chronic_pelvic_painendometriosis

MeSH descriptors

Fallopian Tube Diseases Pregnancy, Ectopic Fallopian Tubes Female Humans Middle Aged Pelvic Pain Pregnancy Ultrasonography

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