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Hematosalpinx (also spelled hemosalpinx) refers to the presence of blood within the fallopian tube, and it’s often a sign of an underlying gynecological issue. Let’s break it down: 🩸 Causes Ectopic pregnancy: The most common cause—when a fertilized egg implants in the fallopian tube. Endometriosis: Endometrial tissue growing in or near the tubes can bleed. Pelvic inflammatory disease (PID): Infections can damage the tubes and lead to bleeding. Tubal carcinoma: Rare, but cancer of the fallopian tube can cause hemorrhage. Trauma or surgery: Injury to the tube may result in blood accumulation. Congenital anomalies: Obstructions like an imperforate hymen or transverse vaginal septum can cause retrograde menstruation and hematosalpinx2. ⚠️ Symptoms Pelvic or abdominal pain Abnormal vaginal bleeding Signs of ectopic pregnancy (e.g., severe pain, dizziness, fainting) Sometimes asymptomatic and found incidentally on imaging. 🧪 Diagnosis Ultrasound: May show a dilated fallopian tube with low-level internal echoes. CT or MRI: Can reveal high-attenuation blood products or the “kissing ovary” sign due to adhesions. Laparoscopy: Direct visualization and confirmation. 🛠️ Treatment Depends on the cause: Ectopic pregnancy: Often requires surgical intervention. Endometriosis or PID: Managed with medications or surgery. Drainage or salpingostomy: May be performed to relieve symptoms and preserve fertility #Hematosalpinx #hemosalpinx