Ovarian Endometrioma and Hematosalpinx Coexistence: A Rare Case Report

Emine ÖZHAN ÖZTURAN, İbrahim Halil ASLANSOY, Ahmet ÇELİK, Deniz Han Deniz
2025 · doi:10.24074/tjrms.2025-110437 · W7082660260
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This case report describes the rare coexistence of ovarian endometrioma and hematosalpinx, both significant gynecological conditions.

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This case report examines the rare coexistence of ovarian endometrioma and hematosalpinx in a patient presenting with chronic pelvic pain and dyspareunia. Diagnostic evaluation via ultrasonography identified bilateral ovarian endometriomas, while hysterosalpingography revealed dilated fallopian tubes indicative of blood accumulation within the tubes. The authors discuss the diagnostic challenges and management strategies for this specific presentation during infertility evaluations, noting that direct data linking ovarian endometriomas to hematosalpinx remains limited despite known associations between endometriosis and tubal dysfunction. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Endometriozis, reme andaki kadnlarda sk grlen kronik bir hastalk olup, pelvik ar ve infertilite gibi ciddi sorunlara yol aabilir.Overyan endometriomalar (OMA), endometriozisin en sk rastlanan pelvik manifestasyonlarndan biridir ve genellikle dismenore, disparoni ve kronik pelvik ar ile ilikilidir
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ABSTRACT Hematosalpinx is a pathological condition characterized by the accumulation of blood within the fallopian tubes and is frequently associated with ectopic pregnancy, tubal endometriosis, or pelvic inflammatory disease. While endometriosis is known to cause tubal dysfunction, data directly linking ovarian endometrioma (OMA) to hematosalpinx remain limited. Recent studies have demonstrated that the prevalence of tubal pathologies is significantly higher in patients with untreated ovarian endometriomas compared to control groups. In this case report, a patient presenting with chronic pelvic pain and dyspareunia underwent ultrasonographic evaluation, which revealed bilateral ovarian endometriomas, while hysterosalpingography demonstrated dilated fallopian tubes. The diagnostic process and management strategies for hematosalpinx in a patient with OMA undergoing infertility evaluation will be discussed.

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endometrioma

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last seen: 2026-05-14T06:25:39.257356+00:00
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