HYDROSALPINX

D I T H A M A R I S S YA DAU D
GROUP B
 DEFINISI

is a descriptive term and refers to a fluid filled dilatation of

the fallopian tube
 CLINICAL PRESENTATION

May be asymptomatic
Pelvic pain
Infertility
 PATHOLOGY

One or both fallopian tubes may be affected

Hydrosalpinx results from an accumulation of secretions when
the tube is occluded at its distal end (obstruction of the
ampullary segment) or both ends.
(rare occasion) transient distention of the fallopian tubes
occurs because of retrograde passage of blood from the
uterus without complete distal occlusion
 CAUSA

Endometriosis (seringnya haematosalpinx)

Induksi ovulasi
PID (e.g.: chlamydial or gonococcal infection) hydrosalpinx
is most commonly a sequela of adhesions from PID
Post hysterectomy )without salpingo-oophorectomy)
Tuba ligation
Tuba malignancy
RADIOGRAPHIC FEATURES
 ULTRASOUND

Thin or thick-walled (in chronic cases)

Elongated or folded, tubular, c-shaped, or s-shaped fluid filled
structure cogwheel appearance when imaged in cross
section. (pathognomonic of hydrosalpinx)
Distinct from the uterus and ovary
USG
 CT

Fluid attenuation tubular adnexal structure, separate from the

ovary
Tubal wall may enhance following contrast
CT
 MRI

Choice for the characterisation and localisation of adnexal

masses that are inadequately evaluated with US
Signal characteristic of dilated tube(s):
T1: typically hypointense although can be hyperintense if
there is proteinaceous fluid
T2: hyperintense
T1 C+ (GD): the mucosal plicae and the tube walls may show
mild enchancement
 HYSTEROSALPINGOGRAM (HSG)

A dilated fallopian tube, filling with contrast and with absence

of free spillage
HSG
 REFERENSI

Herring, W. 2016. Learning Radiology: Recognizing the Basics 3rd Ed.

Philadelphia: Elsevier
<https://radiopaedia.org/> diakses pada 15 Juli 2017
TERIMA KASIH