Hydrosalpinx

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Classification according to ICD-10
N70.1 Chronic salpingitis and oophoritis - including hydrosalpinx
ICD-10 online (WHO version 2019)

The hydrosalpinx , from ancient Greek ὕδωρ hydor , German 'water' and ancient Greek σαλπίγξ salpinx , German 'fallopian tube' , Latin Sactosalpinx serosa , is a fluid-filled widening of the fallopian tube caused by the build-up of watery secretion, usually after salpingitis has ended .

If the fluid is purulent , it is called a pyosalpinx , if it contains blood , it is a hematosalpinx .

Hydrosalpinx, one-sided strongly dilated and tortuous fallopian tube, opposite side normal
Transvaginal sonography showing the fluid-filled, greatly dilated uterine tuba

root cause

Possible reasons for the closure of the tube at the distal end, the fallopian tube ampoule, or at both ends are:

Clinical manifestations

A hydrosalpinx can be clinically normal or be associated with abdominal complaints, and it is not uncommon for infertility to exist.

There is an association with a significantly reduced success rate after artificial insemination , the cause has not yet been clarified.

diagnosis

The diagnosis can be made with the help of various imaging methods : with hystero-contrast salpingography , with computed tomography , today with magnetic resonance tomography or, as the method of choice, sonography .

Differential diagnosis

The following are to be distinguished:

  • Cysts next to the ovary
  • cystic neoplasms of the ovary
  • enlarged loops of intestine
  • dilated pelvic veins
  • Tarlov cyst in the pelvis

therapy

Treatment is indicated in the event of complaints and prior to artificial insemination. The laparoscopic removal of the fallopian tube (salpingectomy), salpingostomy or other interventions are possible.

Complications

The complication can be an infection of the fluid with the formation of a pyosalpinx.

history

The first description probably comes from Reinier de Graaf .

literature

  • LM Della Grotta, RB Dyer, BL Holbert: The "cogwheel" sign of hydrosalpinx. In: Abdominal radiology. Volume 44, number 10, 10 2019, pp. 3486-3487, doi: 10.1007 / s00261-019-02144-7 , PMID 31346740 (review).
  • HM Harb, J. Ghosh, F. Al-Rshoud, B. Karunakaran, ID Gallos, A. Coomarasamy: Hydrosalpinx and pregnancy loss: a systematic review and meta-analysis. In: Reproductive biomedicine online. Volume 38, number 3, March 2019, pp. 427-441, doi: 10.1016 / j.rbmo.2018.12.020 , PMID 30665848 .

Individual evidence

  1. ↑ Entry on Hydrosalpinx in the Flexikon , a Wiki of the DocCheck company
  2. ↑ a b c d e Radiopaedia
  3. ↑ a b c Emedicine Fallopian Tube Disorders
  4. ^ Willibald Pschyrembel : Clinical Dictionary , 266th, updated edition, de Gruyter, Berlin 2014, ISBN 978-3-11-033997-0
  5. ^ VL Schiller, K. Tsuchiyama: Development of hydrosalpinx during ovulation induction. In: Journal of Ultrasound in Medicine . Volume 14, Number 11, November 1995, pp. 799-803, doi: 10.7863 / jum.1995.14.11.799 , PMID 8551543 .
  6. ↑ K. von Horn, A. Doster, A. Freis, S. Hecht, T. Strowitzki: Hydrosalpinx. In: Gynecological Endocrinology. 15, 2017, p. 260, doi: 10.1007 / s10304-017-0139-x .
  7. ↑ AN Andersen, Z. Yue, FJ Meng, K. Petersen: Low implantation rate after in-vitro fertilization in patients with hydrosalpinges diagnosed by ultrasonography. In: Human reproduction. Volume 9, Number 10, October 1994, pp. 1935-1938, doi: 10.1093 / oxfordjournals.humrep.a138362 , PMID 7844229 .
  8. ↑ Y. Zalel, D. Soriano, S. Lipitz, S. Mashiach, R. Achiron: Contribution of color Doppler flow to the ultrasonographic diagnosis of tubal abnormalities. In: Journal of Ultrasound in Medicine . Volume 19, Number 9, September 2000, pp. 645-649, doi: 10.7863 / jum.2000.19.9.645 , PMID 10972562 .
  9. ^ O. Benjaminov, M. Atri: Sonography of the abnormal fallopian tube. In: American Journal of Roentgenology . Volume 183, Number 3, September 2004, pp. 737-742, doi: 10.2214 / ajr.183.3.1830737 , PMID 15333364 .
  10. ↑ A. Volodarsky-Perel, W. Buckett, T. Tulandi: Treatment of hydrosalpinx in relation to IVF outcome: a systematic review and meta-analysis. In: Reproductive biomedicine online. Volume 39, number 3, September 2019, pp. 413-432, doi: 10.1016 / j.rbmo.2019.04.012 , PMID 31324437 (review).
  11. ^ NP Johnson, W. Mak, MC Sowter: Surgical treatment for tubal disease in women due to undergo in vitro fertilization. In: The Cochrane database of systematic reviews. Number 3, 2004, S. CD002125, doi: 10.1002 / 14651858.CD002125.pub2 , PMID 15266464 (Review).
  12. ↑ KY Ng, Y. Cheong: Hydrosalpinx - Salpingostomy, salpingectomy or tubal occlusion. In: Best practice & research. Clinical obstetrics & gynecology. Volume 59, August 2019, pp. 41-47, doi: 10.1016 / j.bpobgyn.2019.01.011 , PMID 30824209 (review).
  13. ^ B. Nikolic, K. Nguyen, LG Martin, DC Redd, I. Best, MI Silverstein: Pyosalpinx developing from a preexisting hydrosalpinx after uterine artery embolization. In: Journal of vascular and interventional radiology: JVIR. Volume 15, Number 3, March 2004, pp. 297-301, doi: 10.1097 / 01.rvi.0000116187.30591.00 , PMID 15028817 .
  14. ^ WM Ankum, HL Houtzager, OP Bleker: Reinier De Graaf (1641-1673) and the fallopian tube. In: Human reproduction update. Volume 2, Number 4, 1996 Jul-Aug, pp. 365-369, doi: 10.1093 / humupd / 2.4.365 , PMID 9080233 .
  15. ↑ BI Tshisuaka: Graaf, Reinier de. In: Werner E. Gerabek , Bernhard D. Haage, Gundolf Keil , Wolfgang Wegner (eds.): Enzyklopädie Medizingeschichte. De Gruyter, Berlin / New York 2005, ISBN 3-11-015714-4 , p. 506.