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Hematosalpinx

Last Updated: March 11, 2020

Definition - What does Hematosalpinx mean?

Hematosalpinx is a condition that involves bleeding into the fallopian tubes. It can occur due to a number of causes, the most common being an ectopic pregnancy.

Advanced maternal age increases the risk of developing a hematosalpinx. The condition may affect one or both the tubes.

It may also be referred to as a hemosalpinx.

FertilitySmarts explains Hematosalpinx

In addition to a tubal pregnancy, hematosalpinx can be caused by:

  • Inflammation of the fallopian tubes (salpingitis)
  • Tubal endometriosis
  • Cancer of the fallopian tubes
  • Uterine anomalies

What are the symptoms of a hematosalpinx?

Hematosalpinx from an ectopic pregnancy (implantation outside the uterus), can result in severe pelvic pain and bleeding through the vagina and requires emergency intervention. A hematosalpinx related to other causes may include symptoms of salpingitis (fever, severe abdominal pain, and frequent urination) or can be painless.

What are the consequences of a hematosalpinx?

A hematosalpinx can cause:

  • Rupture of an ectopic pregnancy can cause the blood to escape from the fallopian tubes into the peritoneal cavity (the space between the two layers of the abdominal wall) leading to the accumulation of blood in this cavity (called a hemoperitoneum).
  • Blocked fallopian tubes, which impact the ability to conceive naturally, often requiring treatment like in vitro fertilization (IVF).
  • Cause the fallopian tube to twist on itself, which a life-threatening condition called to as tubal torsion that requires emergency intervention.

How is a hematosalpinx diagnosed and treated?

A transvaginal ultrasound can help detect a hematosalpinx. Treatment is targeted towards the underlying condition and in ectopic pregnancy, it usually requires the surgical removal of the tube (salpingectomy) by laparoscopy or laparotomy.

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