A case of hydrosalpinx associated with the menstrual cycle

Yutaka Osuga, Osuga Y, Kaori Koga, Tetsuya Hirata, Hiroi H, Hisahiko Hiroi, Yuji Taketani, Taketani Y
Fertility and sterility · 2007 · vol. 90(1) , pp. 199.e9–199.e11 · doi:10.1016/j.fertnstert.2007.06.047 · PMID:17920593 · W2163572294
Case report OA: closed CC0 ⤵ 1 in-corpus citation
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Sequential transvaginal ultrasonography revealed a left hydrosalpinx-like image that cyclically increased in size during ovulation and then decreased, correlating with tubal obstruction.

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Abstract

OBJECTIVE: To describe a case report of hydrosalpinx that changed dramatically in size during the menstrual cycle. DESIGN: Case report. SETTING: University teaching hospital reproductive endocrinology and infertility practice. PATIENT(S): A 32-year-old woman with a history of medical and surgical treatments of endometriosis who sought infertility treatment. INTERVENTION(S): Transvaginal ultrasonography performed sequentially during menstrual cycles. MAIN OUTCOME MEASURE(S): Size of hydrosalpinx-like image. RESULT(S): The size of the hydrosalpinx-like image in the left adnexal region varied; it peaked during the ovulatory period and then remarkably diminished in a cyclic manner. Laparoscopy revealed a dense adhesion between the left tubal fimbriated end and the posterior uterine wall, which led to terminal obstruction of the tube. CONCLUSION(S): Change in the volume of the hydrosalpinx in this case was speculated to reflect the normal tubal fluid production regulated by ovarian hormones.

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Condition tags

endometriosis

MeSH descriptors

Adnexa Uteri Body Fluids Endometriosis Fallopian Tube Diseases Menstrual Cycle Adnexa Uteri Adnexa Uteri Adnexa Uteri Adnexa Uteri Adult Adult Body Fluids Body Fluids Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Fallopian Tube Diseases Fallopian Tube Diseases

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