Hydrosalpinx with Adhesion Colic: A Case Report

Abstract

Hydrosalpinx is a state where one or both of the fallopian tubes gets obstructed due to accumulation of fluid. This gives the fallopian tube a sausage like shape. In certain cases, the fluid gets filled with pus known as pyosalpinx and in some cases filled with blood called hematosalpinx. The incidence of hydrosalpinx is assessed as 1 in 500,000 women. It is often found in women of reproductive age but also found rarely in prepubertal and perimenopausal women. Hydrosalpinx arises from a past infection in the fallopian tubes, sometimes due to any sexually transmitted infections like chlamydial infections. Also, previous surgery of the reproductive system, severe pelvic adhesions, pelvic inflammatory disease, endometriosis, appendicitis can also increase the risk for hydrosalpinx. In the beginning stages, it is usually asymptomatic but sometimes may cause moderate to severe abdominal pain in the women. Diagnosis can be done by using hysterosalpingogram (HSG), ultrasound, Computed Tomography (CT) or Magnetic resonance imaging (MRI) scan. Differential diagnosis of hydrosalpinx is very important in woman of child bearing age as it can result in infertility. Even in women who underwent tubal ligation, it can cause complications like tubal ligation, adhesion colic etc. presenting as abdominal pain. Therefore, despite being a rare condition timely diagnosis and treatment of hydrosalpinx is deemed important. In this case, a 30-year-old married woman was admitted to hospital with severe pain in lower right quadrant of abdomen and later diagnosed as a case of bilateral hydrosalpinx with adhesion colic and underwent successful laparoscopic salpingectomy.