A Case of Giant Hydrosalpinx

Hydrosalpinx is an entity commonly encountered in gynecologic practice. However, giant hydrosalpinx is rare. Although the exact pathophysiology is unknown, most feel that hydrosalpinx is the result of chronic pathological condition of the fallopian tube when the fimbrial end of the tube is occluded and distal part distended with fluid. The occlusion usually occurs secondary to pelvic inflammatory disease or endometriosis or adjacent appendicular inflammation. Hydrosalpinx is associated with infertility, torsion and hemorrhagic infarction. We present an unusual case of giant hydrosalpinx, which was misdiagnosed as ovarian cyst with a review of brief literature.