A Case of Giant Hydrosalpinx.

Park, Hee Jin; Kim, Jae Wook; Yoon, Bo Sung; Jeong, Hyeon Joo; Kim, Hae Ryoung

Case Report

Korean Journal of Obstetrics & Gynecology 2003;46(1):196-199.
Published online January 1, 2003.

A Case of Giant Hydrosalpinx.

Hee Jin Park, Jae Wook Kim, Bo Sung Yoon, Hyeon Joo Jeong, Hae Ryoung Kim

¹Department of Obstetrics and Gynecology, Yonsei University, College of Medicine, Seoul, Korea.
²Department of Surgical Pathology, Yonsei University, College of Medicine, Seoul, Korea.

Abstract

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.

Key Words: hydrosalpinx