Hematosalpinx

Case contributed by Mostafa Elfeky
Diagnosis probable

Presentation

History of previous laparoscopy for infertility, presented for a pelvic scan before ICSI embryo transfer.

Patient Data

Age: 35 years
Gender: Female
ultrasound
This study is a stack
Transabdominal
scan
This study is a stack
Transvaginal
scan
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Info

A large complex cystic lesion is noted at the left adnexal region composed of interconnected cystic structures. They contain homogeneous turbid fluid content with hyperechoic texture. It reaches 4 cm in caliber.

Case Discussion

Ultrasound features are suggestive of hematosalpinx. It has different etiologies like ectopic tubal pregnancy, infection, trauma, endometriosis, and cryptomenorrhea. 

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