Hematosalpinx (sometimes also hemosalpinx) is a medical condition involving bleeding into the fallopian tubes.
Symptoms A hematosalpinx from a tubal pregnancy may be associated with abdominal pain and uterine bleeding. A hematosalpinx from other conditions may be painless but could lead to uterine bleeding.
Causes A number of causes may account for a hematosalpinx, by far the most common being a ectopic pregnancy. Blood may also escape into the peritoneal cavity leading to a hemoperitoneum. A hematosalpinx can also be associated with endometriosis, tubal carcinoma, and pelvic inflammatory disease. Further, if menstrual blood flow is obstructed (cryptomenorrhea), caused for instance by a transverse vaginal septum, and gets backed up it may lead to a hematosalpinx.
Diagnosis Diagnosis may include, but is not limited to, gynecologic ultrasound, CT scan, and MRI. Estimated incidence ranges from 1.08% to 1.8% for this rare condition.
Treatment Prompt surgical intervention by laparoscopy is used to remove the impacted fallopian tube. Postoperative recovery suggest anti-inflammatory and enzyme resorption therapy.
See also Hydrosalpinx
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