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Hydrosalpinx
Maryam Rezvani, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Dilated, fluid-filled fallopian tube

            IMAGING

            • General Features

              • Hysterosalpingography

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Revzin MV et al: Imaging evaluation of fallopian tubes and related disease: a primer for radiologists. Radiographics. 40(5):1473-501, 2020
                                      2. Della Grotta LM et al: The "cogwheel" sign of hydrosalpinx. Abdom Radiol (NY). 44(10):3486-7, 2019
                                      3. Katz SI et al: Hydrosalpinx in patients with hysterectomy without salpingo-oophorectomy referred for pelvic magnetic resonance imaging. Clin Imaging. 55:95-9, 2019
                                      4. Foti PV et al: Non-neoplastic diseases of the fallopian tube: MR imaging with emphasis on diffusion-weighted imaging. Insights Imaging. 7(3):311-27, 2016
                                      5. Laing FC et al: US of the ovary and adnexa: to worry or not to worry? Radiographics. 32(6):1621-39; discussion 1640-2, 2012
                                      6. Pampal A et al: A rare cause of acute abdominal pain in adolescence: hydrosalpinx leading to isolated torsion of fallopian tube. J Pediatr Surg. 47(12):e31-4, 2012
                                      7. Rezvani M et al: Fallopian tube disease in the nonpregnant patient. Radiographics. 31(2):527-48, 2011
                                      8. Moyle PL et al: Nonovarian cystic lesions of the pelvis. Radiographics. 30(4):921-38, 2010
                                      9. Kim MY et al: MR Imaging findings of hydrosalpinx: a comprehensive review. Radiographics. 29(2):495-507, 2009
                                      10. Patel MD et al: Likelihood ratio of sonographic findings in discriminating hydrosalpinx from other adnexal masses. AJR Am J Roentgenol. 186(4):1033-8, 2006
                                      11. Imaoka I et al: MR imaging of disorders associated with female infertility: use in diagnosis, treatment, and management. Radiographics. 23(6):1401-21, 2003
                                      12. Bennett GL et al: Gynecologic causes of acute pelvic pain: spectrum of CT findings. Radiographics. 22(4):785-801, 2002
                                      13. Sam JW et al: Spectrum of CT findings in acute pyogenic pelvic inflammatory disease. Radiographics. 22(6):1327-34, 2002
                                      14. Dohke M et al: Comprehensive MR imaging of acute gynecologic diseases. Radiographics. 20(6):1551-66, 2000
                                      15. Guerriero S et al: Transvaginal ultrasonography associated with colour Doppler energy in the diagnosis of hydrosalpinx. Hum Reprod. 15(7):1568-72, 2000
                                      16. Jain KA: Imaging of peritoneal inclusion cysts. AJR Am J Roentgenol. 174(6):1559-63, 2000
                                      17. Thurmond AS: Sonographic imaging in infertility. In Callen PW: Ultrasonography in Obstetrics and Gynecology. 4th ed. Saunders. 897-911, 2000
                                      18. Outwater EK et al: Dilated fallopian tubes: MR imaging characteristics. Radiology. 208(2):463-9, 1998
                                      19. Timor-Tritsch IE et al: Transvaginal sonographic markers of tubal inflammatory disease. Ultrasound Obstet Gynecol. 12(1):56-66, 1998
                                      20. Kim JS et al: Peritoneal inclusion cysts and their relationship to the ovaries: evaluation with sonography. Radiology. 204(2):481-4, 1997
                                      21. Atri M et al: Accuracy of endovaginal sonography for the detection of fallopian tube blockage. J Ultrasound Med. 13(6):429-34, 1994
                                      22. Atri M et al: Endovaginal sonographic appearance of benign ovarian masses. Radiographics. 14(4):747-60; discussion 761-2, 1994
                                      23. Cacciatore B et al: Transvaginal sonographic findings in ambulatory patients with suspected pelvic inflammatory disease. Obstet Gynecol. 80(6):912-6, 1992
                                      24. Terry J et al: Sonographic demonstration of salpingitis. Potential confusion with appendicitis. J Ultrasound Med. 8(1):39-41, 1989
                                      25. Tessler FN et al: Endovaginal sonographic diagnosis of dilated fallopian tubes. AJR Am J Roentgenol. 153(3):523-5, 1989
                                      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

                                                  • Dilated, fluid-filled fallopian tube

                                                IMAGING

                                                • General Features

                                                  • Hysterosalpingography

                                                    • CT Findings

                                                      • MR Findings

                                                        • Ultrasonographic Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Gross Pathologic & Surgical Features

                                                                  • Microscopic Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Revzin MV et al: Imaging evaluation of fallopian tubes and related disease: a primer for radiologists. Radiographics. 40(5):1473-501, 2020
                                                                          2. Della Grotta LM et al: The "cogwheel" sign of hydrosalpinx. Abdom Radiol (NY). 44(10):3486-7, 2019
                                                                          3. Katz SI et al: Hydrosalpinx in patients with hysterectomy without salpingo-oophorectomy referred for pelvic magnetic resonance imaging. Clin Imaging. 55:95-9, 2019
                                                                          4. Foti PV et al: Non-neoplastic diseases of the fallopian tube: MR imaging with emphasis on diffusion-weighted imaging. Insights Imaging. 7(3):311-27, 2016
                                                                          5. Laing FC et al: US of the ovary and adnexa: to worry or not to worry? Radiographics. 32(6):1621-39; discussion 1640-2, 2012
                                                                          6. Pampal A et al: A rare cause of acute abdominal pain in adolescence: hydrosalpinx leading to isolated torsion of fallopian tube. J Pediatr Surg. 47(12):e31-4, 2012
                                                                          7. Rezvani M et al: Fallopian tube disease in the nonpregnant patient. Radiographics. 31(2):527-48, 2011
                                                                          8. Moyle PL et al: Nonovarian cystic lesions of the pelvis. Radiographics. 30(4):921-38, 2010
                                                                          9. Kim MY et al: MR Imaging findings of hydrosalpinx: a comprehensive review. Radiographics. 29(2):495-507, 2009
                                                                          10. Patel MD et al: Likelihood ratio of sonographic findings in discriminating hydrosalpinx from other adnexal masses. AJR Am J Roentgenol. 186(4):1033-8, 2006
                                                                          11. Imaoka I et al: MR imaging of disorders associated with female infertility: use in diagnosis, treatment, and management. Radiographics. 23(6):1401-21, 2003
                                                                          12. Bennett GL et al: Gynecologic causes of acute pelvic pain: spectrum of CT findings. Radiographics. 22(4):785-801, 2002
                                                                          13. Sam JW et al: Spectrum of CT findings in acute pyogenic pelvic inflammatory disease. Radiographics. 22(6):1327-34, 2002
                                                                          14. Dohke M et al: Comprehensive MR imaging of acute gynecologic diseases. Radiographics. 20(6):1551-66, 2000
                                                                          15. Guerriero S et al: Transvaginal ultrasonography associated with colour Doppler energy in the diagnosis of hydrosalpinx. Hum Reprod. 15(7):1568-72, 2000
                                                                          16. Jain KA: Imaging of peritoneal inclusion cysts. AJR Am J Roentgenol. 174(6):1559-63, 2000
                                                                          17. Thurmond AS: Sonographic imaging in infertility. In Callen PW: Ultrasonography in Obstetrics and Gynecology. 4th ed. Saunders. 897-911, 2000
                                                                          18. Outwater EK et al: Dilated fallopian tubes: MR imaging characteristics. Radiology. 208(2):463-9, 1998
                                                                          19. Timor-Tritsch IE et al: Transvaginal sonographic markers of tubal inflammatory disease. Ultrasound Obstet Gynecol. 12(1):56-66, 1998
                                                                          20. Kim JS et al: Peritoneal inclusion cysts and their relationship to the ovaries: evaluation with sonography. Radiology. 204(2):481-4, 1997
                                                                          21. Atri M et al: Accuracy of endovaginal sonography for the detection of fallopian tube blockage. J Ultrasound Med. 13(6):429-34, 1994
                                                                          22. Atri M et al: Endovaginal sonographic appearance of benign ovarian masses. Radiographics. 14(4):747-60; discussion 761-2, 1994
                                                                          23. Cacciatore B et al: Transvaginal sonographic findings in ambulatory patients with suspected pelvic inflammatory disease. Obstet Gynecol. 80(6):912-6, 1992
                                                                          24. Terry J et al: Sonographic demonstration of salpingitis. Potential confusion with appendicitis. J Ultrasound Med. 8(1):39-41, 1989
                                                                          25. Tessler FN et al: Endovaginal sonographic diagnosis of dilated fallopian tubes. AJR Am J Roentgenol. 153(3):523-5, 1989