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Ultrasound
Diagnosis
Female Pelvis
Non-Ovarian Cystic Masses
Hydrosalpinx
Hydrosalpinx
Mariam Moshiri, MD, FSAR; Jade Wong-You-Cheong, MBChB, MRCP, FRCR, FSRU, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Fluid-filled dilatation of fallopian tubes resulting from tubal obstruction
              • Must be distinguished from pyosalpinx or hematosalpinx based on tubal content and clinical picture
              • May /be isolated finding or bilateral or part of a complex adnexal pathologic process

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Imaging Recommendations

                  • MR Findings

                    • Fluoroscopic Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Kaproth-Joslin K et al: Imaging of female infertility: a pictorial guide to the hysterosalpingography, ultrasonography, and magnetic resonance imaging findings of the congenital and acquired causes of female infertility. Radiol Clin North Am. 51(6):967-81, 2013
                                    2. Matorras R et al: Hysteroscopic hydrosalpinx occlusion with Essure device in IVF patients when salpingectomy or laparoscopy is contraindicated. Eur J Obstet Gynecol Reprod Biol. 169(1):54-9, 2013
                                    3. Ma L et al: Fallopian tubal patency diagnosed by magnetic resonance hysterosalpingography. J Reprod Med. 57(9-10):435-40, 2012
                                    4. Rezvani M et al: Fallopian tube disease in the nonpregnant patient. Radiographics. 31(2):527-48, 2011
                                    5. Carrascosa PM et al: Virtual hysterosalpingography: a new multidetector CT technique for evaluating the female reproductive system. Radiographics. 30(3):643-61, 2010
                                    6. Moyle PL et al: Nonovarian cystic lesions of the pelvis. Radiographics. 30(4):921-38, 2010
                                    7. Timor-Tritsch IE et al: Three-dimensional ultrasound inversion rendering technique facilitates the diagnosis of hydrosalpinx. J Clin Ultrasound. 38(7):372-6, 2010
                                    8. Kim MY et al: MR Imaging findings of hydrosalpinx: a comprehensive review. Radiographics. 29(2):495-507, 2009
                                    9. Potter AW et al: US and CT evaluation of acute pelvic pain of gynecologic origin in nonpregnant premenopausal patients. Radiographics. 28(6):1645-59, 2008
                                    10. Bontis JN et al: Laparoscopic management of hydrosalpinx. Ann N Y Acad Sci. 1092:199-210, 2006
                                    11. Patel MD et al: Likelihood ratio of sonographic findings in discriminating hydrosalpinx from other adnexal masses. AJR. 186:1033-8, 2006
                                    12. Simpson WL Jr et al: Hysterosalpingography: a reemerging study. Radiographics. 26(2):419-31, 2006
                                    13. Benjaminov O et al: Sonography of the abnormal fallopian tube. AJR Am J Roentgenol. 183(3):737-42, 2004
                                    14. Dohke M et al: Comprehensive MR imaging of acute gynecologic diseases. Radiographics. 20:1551-66, 2000
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Definitions

                                                • Fluid-filled dilatation of fallopian tubes resulting from tubal obstruction
                                                • Must be distinguished from pyosalpinx or hematosalpinx based on tubal content and clinical picture
                                                • May /be isolated finding or bilateral or part of a complex adnexal pathologic process

                                              IMAGING

                                              • General Features

                                                • Ultrasonographic Findings

                                                  • Imaging Recommendations

                                                    • MR Findings

                                                      • Fluoroscopic Findings

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Microscopic Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Kaproth-Joslin K et al: Imaging of female infertility: a pictorial guide to the hysterosalpingography, ultrasonography, and magnetic resonance imaging findings of the congenital and acquired causes of female infertility. Radiol Clin North Am. 51(6):967-81, 2013
                                                                      2. Matorras R et al: Hysteroscopic hydrosalpinx occlusion with Essure device in IVF patients when salpingectomy or laparoscopy is contraindicated. Eur J Obstet Gynecol Reprod Biol. 169(1):54-9, 2013
                                                                      3. Ma L et al: Fallopian tubal patency diagnosed by magnetic resonance hysterosalpingography. J Reprod Med. 57(9-10):435-40, 2012
                                                                      4. Rezvani M et al: Fallopian tube disease in the nonpregnant patient. Radiographics. 31(2):527-48, 2011
                                                                      5. Carrascosa PM et al: Virtual hysterosalpingography: a new multidetector CT technique for evaluating the female reproductive system. Radiographics. 30(3):643-61, 2010
                                                                      6. Moyle PL et al: Nonovarian cystic lesions of the pelvis. Radiographics. 30(4):921-38, 2010
                                                                      7. Timor-Tritsch IE et al: Three-dimensional ultrasound inversion rendering technique facilitates the diagnosis of hydrosalpinx. J Clin Ultrasound. 38(7):372-6, 2010
                                                                      8. Kim MY et al: MR Imaging findings of hydrosalpinx: a comprehensive review. Radiographics. 29(2):495-507, 2009
                                                                      9. Potter AW et al: US and CT evaluation of acute pelvic pain of gynecologic origin in nonpregnant premenopausal patients. Radiographics. 28(6):1645-59, 2008
                                                                      10. Bontis JN et al: Laparoscopic management of hydrosalpinx. Ann N Y Acad Sci. 1092:199-210, 2006
                                                                      11. Patel MD et al: Likelihood ratio of sonographic findings in discriminating hydrosalpinx from other adnexal masses. AJR. 186:1033-8, 2006
                                                                      12. Simpson WL Jr et al: Hysterosalpingography: a reemerging study. Radiographics. 26(2):419-31, 2006
                                                                      13. Benjaminov O et al: Sonography of the abnormal fallopian tube. AJR Am J Roentgenol. 183(3):737-42, 2004
                                                                      14. Dohke M et al: Comprehensive MR imaging of acute gynecologic diseases. Radiographics. 20:1551-66, 2000