Hidrosalpinks ve piyosalpinks

Özet

Hidrosalpinks, tuba uterinanın sıvı ile genişlemesidir ve çoğunlukla distal tıkanıklık ya da geçirilmiş inflamasyonla ilişkilidir; piyosalpinks ise tüp içindeki enfekte pürülan içeriği gösterir. BT'de pelvik inflamatuvar hastalıkta pelvik yağ çizgilenmesi ve fasiyal planlarda silikleşme görülebilir; hidrosalpinks ve piyosalpinks de pelvik inflamatuvar hastalık kapsamında değerlendirilen tubal bulgulardır. Piyosalpinksin erken tanınması pelvik inflamasyonun yayılımını ve tubo-ovaryan apseye ilerleme olasılığını anlamaya yardım eder. Tübüler lezyonu over kisti sanmak, apse odağını veya tuba torsiyonu gibi acil eşlikçileri gözden kaçırabilir.

Faz ve pencere

Portal tanısal

Görüntülemede hidrosalpinks genişlemiş tübüler adneksiyel yapı, piyosalpinks ise kompleks veya ekojenik intratubal içerik ve kalınlaşmış, hiperemik ya da kontrastlanan tubal duvar ile uyumlu olabilir. Hidrosalpinks ve piyosalpinks, fallop tüpünü etkileyen ve farklı görüntüleme yöntemleriyle ayırt edilebilen durumlardır.

Önerilen pencereler: Batın (G 400 / M 50), Yumuşak doku (G 400 / M 40).

BT bulguları

• Genişlemiş fallop tüpü kontrastlı BT'de kıvrımlı tübüler yapı olarak izlenir.
• Hidrosalpinks, distal tubal tıkanıklığa bağlı olarak tuba lümeninde seröz sıvı birikmesiyle oluşur.
• Kalınlaşmış, hiperemik ve/veya kontrastlanan tubal duvar salpingit için bir görüntüleme bulgusudur.
• Kompleks tubal lümen — heterojen veya ekojenik intratubal içerik piyosalpinksle uyumludur.
• Çevre pelvik yağ çizgilenmesi — pelvik inflamatuvar hastalıkta pelvik yağ dokusunda çizgilenme ve fasiyal planlarda silikleşme görülebilir.
• Uterus ve over komşuluğu — tüpün uterin kornu ile adneks arasında izlenmesi tubal kaynağı gösterir; over ayrı seçilebilir.
• Koleksiyon veya apseye geçiş — tubo-ovaryan apse, multiloküle adneksiyel kitle şeklinde görülebilir.

Normalde

Tuba uterina hastalıklarının değerlendirilmesinde ultrason, BT ve MR gibi görüntüleme yöntemleri kullanılır. Şüpheli yapıda duvar kalınlığı, lümen genişlemesi ve çevre yağ planlarındaki değişiklikler değerlendirilir.

Ayırıcı tanı

Paratubal kistler, geniş ligamentte fallop tüpü ile over arasında gelişen adneksiyel kistlerdir.

Tuba torsiyonu

hidrosalpinksle birlikte görülebilir; BT'de olası bir girdap işareti torsiyon şüphesini destekleyebilir.

Hematosalpinks

endometriozis veya ektopik gebelikle ilişkili olabilir.

Tubo-ovaryan apse

multiloküle adneksiyel kitle şeklinde görülebilir.

Tuzaklar

• Adneksiyel lezyonlarda anatomik yerleşim ve morfoloji, tubal patolojinin ayırıcı tanısına yardımcı olur.
• Hidrosalpinks ve piyosalpinks tubal hastalıklardır; pelvik inflamatuvar hastalıkta BT'de pelvik yağ çizgilenmesi ve fasiyal planlarda silikleşme görülebilir.
• Tuba-over kompleksinin sınırları belirsizse lezyonu yalnız hidrosalpinks olarak adlandırmayın; tubo-ovaryan apseyi araştırın.
• Hematosalpinks, tuba içinde kan birikimiyle karakterizedir ve endometriozis ya da ektopik gebelikle ilişkili olabilir.

Kendini dene

1. Görüntülemede hidrosalpinks ile uyumlu kabul edilen yapı hangisidir?

   • Genişlemiş tübüler adneksiyel yapı
   • Kalınlaşmış endometriyum
   • Genişlemiş uterin kavite
   • Overden bağımsız solid pelvik kitle
   Cevabı göster

   Genişlemiş tübüler adneksiyel yapı. Genişlemiş tübüler adneksiyel yapı hidrosalpinksle uyumlu bir görüntüleme bulgusudur.

2. Görüntülemede salpenjit ve tubal tutulumla uyumlu duvar bulgusu hangisidir?

   • Kalınlaşmış, hiperemik veya kontrastlanan tubal duvar
   • İnce endometriyum
   • Tüplerden ayrı izlenen normal over
   • Uterin kavitede sıvı
   Cevabı göster

   Kalınlaşmış, hiperemik veya kontrastlanan tubal duvar. Kalınlaşmış, hiperemik veya kontrastlanan tubal duvar salpenjit için kaynakta belirtilen görüntüleme bulgularındandır.

İlgili konular

• Pelvik inflamatuvar hastalık ve salpenjit
• Tubo-ovaryan apse
• Over endometrioması

Kaynaklar

Bu sayfadaki 33 cümle ve 2 quiz sorusu aşağıdaki kaynaklardan alıntılarla otomatik olarak karşılaştırıldı; 12 cümle bu karşılaştırmada düzeltildi (2026-10-09).

1. Salpingitis in Non-Sexually Active Girls: Clinical Spectrum and Diagnostic Clues from a Pediatric Cohortpmc.ncbi.nlm.nih.gov
2. Bilateral Pyosalpinx Mimicking Acute Appendicitis: An Uncommon but Critical Diagnostic Challengepmc.ncbi.nlm.nih.gov
3. A rare case of pyosalpinx in adolescent girl with Hirschsprung’s disease who underwent transvaginal ultrasound-guided drainagepmc.ncbi.nlm.nih.gov
4. Evaluation of Role of Transabdominal and Transvaginal Ultrasound in Diagnosis of Female Genital Tuberculosispmc.ncbi.nlm.nih.gov
5. Sharma's Python Sign: A New Tubal Sign in Female Genital Tuberculosispmc.ncbi.nlm.nih.gov
6. Imaging Evaluation of Fallopian Tubes and Related Disease: A Primer for Radiologists.pubmed.ncbi.nlm.nih.gov
7. Pelvic Inflammatory Disease: Multimodality Imaging Approach with Clinical-Pathologic Correlation.pubmed.ncbi.nlm.nih.gov
8. A rare case of pyosalpinx in adolescent girl with Hirschsprung's disease who underwent transvaginal ultrasound-guided drainage.pubmed.ncbi.nlm.nih.gov
9. Isolated right fallopian tube torsion associated with hydrosalpinx and multiple uterine leiomyomas in a 50-year-old woman: a case report.pubmed.ncbi.nlm.nih.gov
10. Diagnostic Challenges and Management Strategies of Pelvic Inflammatory Disease in Sexually Inactive Pediatric and Adolescent Patients: A Systematic Review of Case Reports.pubmed.ncbi.nlm.nih.gov
11. Non-Sexually Transmitted Infection (STI)-Related Pelvic Inflammatory Disease (PID).pubmed.ncbi.nlm.nih.gov
12. Salpingitis in Non-Sexually Active Girls: Clinical Spectrum and Diagnostic Clues from a Pediatric Cohort.pubmed.ncbi.nlm.nih.gov
13. Cervical Agenesis and Compressive Hydronephrosis in a Patient With Limited English Proficiency.pubmed.ncbi.nlm.nih.gov
14. Laparoscopic Management of Gynaecological Emergencies: A Single-Centre Prospective Observational Study.pubmed.ncbi.nlm.nih.gov
15. Tubo-ovarian abscess in an adolescent with uterine didelphys and prior cloacal repair: case report and literature review.pubmed.ncbi.nlm.nih.gov
16. Bilateral Tubo-Ovarian Abscesses Associated with Enterococcal Translocation in Decompensated Cirrhosis: A Case Report.pubmed.ncbi.nlm.nih.gov
17. Incidental diagnosis of an accessory ovary during cesarean section: a case report and literature review.pubmed.ncbi.nlm.nih.gov
18. Fimbria torsion as a rare cause of lower abdominal pain: A case report and literature review.pubmed.ncbi.nlm.nih.gov
19. Utility of Pelvic Ultrasound with Negative Computed Tomography in Adult Females.pubmed.ncbi.nlm.nih.gov
20. ESUR female pelvis group approach to cystic female pelvic lesions.pubmed.ncbi.nlm.nih.gov
21. 불분명한 소아 복부 종괴: 영상 기반 진단 접근법.pubmed.ncbi.nlm.nih.gov
22. The Imaging of Primary Fallopian Tube Carcinoma: A Literature Review.pubmed.ncbi.nlm.nih.gov
23. Cross-Sectional Imaging of Pelvic Inflammatory Disease: Diagnostic Pearls and Pitfalls on CT and MR.pubmed.ncbi.nlm.nih.gov
24. Case Report: Successful laparoscopic approach for the management of a voluminous left paratubal cyst: two cases and a literature review.pubmed.ncbi.nlm.nih.gov
25. ESR Essentials: Gynaecological causes of acute pelvic pain in women: a primer for emergent evaluation-practice recommendations by the European Society of Emergency Radiology.pubmed.ncbi.nlm.nih.gov
26. Chronic Ectopic Pregnancy Presenting as a Complex Adnexal Mass With Negative Beta-Human Chorionic Gonadotropin Mimicking Ovarian Malignancy: A Case Report.pubmed.ncbi.nlm.nih.gov
27. Imaging findings in inflammatory disease of the genital organs.pubmed.ncbi.nlm.nih.gov
28. Gynaecological Causes of Acute Pelvic Pain: Common and Not-So-Common Imaging Findings.pubmed.ncbi.nlm.nih.gov
29. Endometriosis MR mimickers: T2-hypointense lesions.pubmed.ncbi.nlm.nih.gov
30. Endometriosis Unveiled: A Tale of Two Extremes, From Acute Sepsis to Silent Suspicion.pubmed.ncbi.nlm.nih.gov
31. Vaginal insertion of ureter with uterus didelphys and ipsilateral renal agenesis: A case report.pubmed.ncbi.nlm.nih.gov
32. From Hope to Infection: Tubo-Ovarian Abscess After Frozen Embryo Transfer-A Case Report and Review of the Literature.pubmed.ncbi.nlm.nih.gov
33. Extremely Rare Case of a Giant Paratubal Cyst, Coexisting with a Mucinous Cystadenoma, Surgically Treated Through Laparoscopy-A Case Report and Review of the Literature.pubmed.ncbi.nlm.nih.gov
34. Isolated fallopian tube torsion (IFTT) associated with hydrosalpinx in an adolescent: a case report.pubmed.ncbi.nlm.nih.gov
35. Partial autoamputation of an ovary following adnexal torsion with preserved ovarian function in a reproductive-age woman: a case report and literature review.pubmed.ncbi.nlm.nih.gov
36. The Association between Endometriosis and Obstructive Müllerian Anomalies.pubmed.ncbi.nlm.nih.gov
37. Colo-Salpingeal Fistula and Secondary Tubo-Ovarian Abscess as Rare Complications of Sigmoid Diverticulitis: A Case Report.pubmed.ncbi.nlm.nih.gov
38. Incidental Adnexal Lesions: CT Diagnosis and Interreader Agreement.pubmed.ncbi.nlm.nih.gov
39. Uncommon diagnostic aspects of adolescent endometriosis: case series with narrative review of the literature.pubmed.ncbi.nlm.nih.gov
40. Role of Imaging Techniques in Ovarian Cancer Diagnosis: Current Approaches and Future Directions.pubmed.ncbi.nlm.nih.gov
41. Mimics and Pitfalls of Primary Ovarian Malignancy Imaging.pubmed.ncbi.nlm.nih.gov
42. Cross-sectional imaging of acute gynaecologic disorders: CT and MRI findings with differential diagnosis-part I: corpus luteum and haemorrhagic ovarian cysts, genital causes of haemoperitoneum and adnexal torsion.pubmed.ncbi.nlm.nih.gov
43. Radiological appearances of gynaecological emergencies.pubmed.ncbi.nlm.nih.gov
44. Deceptive clinical course of mucinous ovarian carcinoma mimicking pelvic abscess in a postmenopausal woman: An exceptional case report.pubmed.ncbi.nlm.nih.gov
45. Intestinal-Type Mucinous Borderline Ovarian Tumour in Pregnancy With a Non-invasive Omental Mucinous Deposit: A Case Report.pubmed.ncbi.nlm.nih.gov
46. A rare complication in humans of a rare disease in Germany: a case of bilateral tubo-ovarian abscesses caused by Brucella melitensis.pubmed.ncbi.nlm.nih.gov
47. Pregnancy-Associated Isolated Fallopian Tube Torsion With a True Knot Managed by Laparoscopic Salpingectomy: A Case Report.pubmed.ncbi.nlm.nih.gov
48. Isolated 720-Degree Tubal Torsion Associated With Tubal Ectopic Pregnancy: A Case Report and Review of Previously Reported Cases.pubmed.ncbi.nlm.nih.gov
49. Diagnostic Performance of Saline Infusion Sonography with Color Doppler Flow (SIS-CF) for Assessing Tubal Patency: A Prospective Cohort Study.pubmed.ncbi.nlm.nih.gov
50. Pyosalpinx-Induced Pelvic Sepsis Prompting Bilateral Salpingo-Oophorectomy and Laparoscopic Hysterectomy in a Premenopausal Woman.pubmed.ncbi.nlm.nih.gov
51. Appendiceal endosalpingiosis: a case report and review of the literature.pubmed.ncbi.nlm.nih.gov
52. Female genital schistosomiasis (FGS) in migrants - a systematic review of reported cases.pubmed.ncbi.nlm.nih.gov
53. Best Practice Recommendations for Infertility Management.pubmed.ncbi.nlm.nih.gov
54. Endometriosis MR mimickers: T1-hyperintense lesions.pubmed.ncbi.nlm.nih.gov
55. Acute pelvic pain: A pictorial review with magnetic resonance imaging.pubmed.ncbi.nlm.nih.gov
56. Challenging Case of Postmenopausal Bleeding and Complete Urogenital Duplication.pubmed.ncbi.nlm.nih.gov
57. Fibrothecoma with pseudo-carcinomatosis in a young woman: The radiologic pitfalls of Meigs syndrome and the importance of fertility-sparing surgery.pubmed.ncbi.nlm.nih.gov
58. Adnexal Torsion of Normal Adnexa at 19 Weeks of Gestation: A Case Report.pubmed.ncbi.nlm.nih.gov
59. Multimodality imaging review of complex pelvic lesions in female pelvis.pubmed.ncbi.nlm.nih.gov
60. Abstracts of the 16th European Congress of Paediatric and Adolescent Gynaecology † .pubmed.ncbi.nlm.nih.gov
61. Acute Hemoperitoneum Secondary to Chronic Hematosalpinx: A Diagnostic Challenge in the Setting of a Negative Pregnancy Test.pubmed.ncbi.nlm.nih.gov
62. A rare presentation of hematosalpinx with torsion in a thirteen year-old virgin: a case report.pubmed.ncbi.nlm.nih.gov
63. Gynecologic imaging errors and pitfalls: how to avoid misdiagnosis on pelvic MRI.pubmed.ncbi.nlm.nih.gov
64. Isthmocele and Infertility.pubmed.ncbi.nlm.nih.gov
65. Epidemiology, Etiopathogenesis, Diagnosis, and Treatment of Male Infertility-Current Trends and Future Directions: A Narrative Review.pubmed.ncbi.nlm.nih.gov
66. International Harmonization of Nomenclature and Diagnostic Criteria (INHAND): Non-proliferative and Proliferative Lesions of the Non-human Primate ( M. fascicularis ).pubmed.ncbi.nlm.nih.gov
67. Long-term safety and effectiveness of the "OptEase" vena cava filter.pubmed.ncbi.nlm.nih.gov
68. From Suspicion to Confirmation: An Original Study on a Complete Diagnostic Pathway for Ectopic Pregnancy.pubmed.ncbi.nlm.nih.gov
69. International Society of Paediatric Surgical Oncology (IPSO) Minimally Invasive Surgery (MIS) Guidelines.pubmed.ncbi.nlm.nih.gov
70. Surgical management of ovarian endometrioma in a patient with fibrodysplasia ossificans progressiva: a case report.pubmed.ncbi.nlm.nih.gov
71. Navigating complexity: review and updates of endometriosis and adenomyosis imaging.pubmed.ncbi.nlm.nih.gov
72. Early Detection and Curative Endoscopic Submucosal Dissection of a 4-mm Signet Ring Cell Microcarcinoma in a Reconstructed Gastric Tube: A Case Report.pubmed.ncbi.nlm.nih.gov
73. Paratubal Leiomyoma Mimicking Ovarian Malignancy: A Case Report and Literature Review.pubmed.ncbi.nlm.nih.gov
74. The Evaluation, Diagnosis, and Management of Ovarian Cysts, Masses, and Their Complications in Fetuses, Infants, Children, and Adolescents.pubmed.ncbi.nlm.nih.gov
75. Radiomics-based MRI model for differentiating ovarian cystadenoma and cystadenocarcinoma.pubmed.ncbi.nlm.nih.gov
76. MRI Revealing Ovarian Non-salvageable Torsion Masquerading as a Pelvic Mass in a Young Woman With Enterocystoplasty and Neurogenic Bladder.pubmed.ncbi.nlm.nih.gov
77. Diagnostic Twists and Turns: Spotting an Isolated Fallopian Tube Torsion.pubmed.ncbi.nlm.nih.gov
78. Colosalpingeal fistula with pneumosalpinx secondary to diverticular disease.pubmed.ncbi.nlm.nih.gov
79. O-RADS for assessment of adnexal lesions: current status, challenges and future directions.pubmed.ncbi.nlm.nih.gov
80. Primary and secondary tumors of the peritoneum: key imaging features and differential diagnosis with surgical and pathological correlation.pubmed.ncbi.nlm.nih.gov
81. Magnetic resonance imaging of endometriosis: a common but often hidden, missed, and misdiagnosed entity.pubmed.ncbi.nlm.nih.gov
82. Tubal Cancer Clinical Management: Two Exceptional Scenarios and a Review of the Literature.pubmed.ncbi.nlm.nih.gov
83. Ovarian Torsion in Polycystic Ovary Syndrome: A Potential Threat?pubmed.ncbi.nlm.nih.gov
84. Atypical disseminated tuberculosis with multi-organ involvement and secondary infertility in an immunocompetent female: a case report and review of the literature.pubmed.ncbi.nlm.nih.gov
85. Wolffian Tumor of the Fallopian Tube Mimicking Malignant Adnexal Tumor: A Case Report and Literature Review.pubmed.ncbi.nlm.nih.gov
86. Obstructed Hemivagina with Ipsilateral Renal Anomaly: Radiological Diagnosis, Outcome of Surgical Management and Literature Review.pubmed.ncbi.nlm.nih.gov
87. Pediatric emergency medicine point-of-care ultrasound: summary of the evidence.pubmed.ncbi.nlm.nih.gov
88. Adnexal torsion diagnosis framework with CT-based adaptive preprocessing and deep neural networks.pubmed.ncbi.nlm.nih.gov
89. Diagnostic imaging of adnexal masses in pregnancy.pubmed.ncbi.nlm.nih.gov
90. Total laparoscopic radical hysterectomy for cervical cancer in prolapsed uterus.pubmed.ncbi.nlm.nih.gov
91. Cross-sectional imaging of acute gynaecologic disorders: CT and MRI findings with differential diagnosis-part II: uterine emergencies and pelvic inflammatory disease.pubmed.ncbi.nlm.nih.gov
92. Diagnostic accuracy of pelvic imaging for acute pelvic inflammatory disease in an emergency care setting: a systematic review and meta-analysis.pubmed.ncbi.nlm.nih.gov
93. Peritoneal Inclusion Cyst in an Unusual Location in a "Virgin" Abdomen: A Diagnostic Dilemma Expanding the Clinical Spectrum.pubmed.ncbi.nlm.nih.gov
94. Hidden Burden of Fallopian Tube Endometriosis: Prevalence and Associations with Pelvic Pathology.pubmed.ncbi.nlm.nih.gov
95. Uncontrolled Diabetes as the Sole Risk Factor in a Rare Candida glabrata Tubo-Ovarian Abscess.pubmed.ncbi.nlm.nih.gov
96. Pelvic Pain in Reproductive Age: US Findings.pubmed.ncbi.nlm.nih.gov
97. Endometriosis: surgical management for fertility enhancement.pubmed.ncbi.nlm.nih.gov
98. Tuberculous pyosalpinx associated with serous tubal intraepithelial lesion: a case report on evidence of early tubal neoplastic transformation.pubmed.ncbi.nlm.nih.gov
99. A rare twist in ohvira syndrome: When menstrual blood takes an unusual route: A case report.pubmed.ncbi.nlm.nih.gov

Eğitim amaçlıdır; hasta başında tanı ve tedavi kararının yerine geçmez, tıbbi tavsiye değildir. Metinler yapay zekâ desteğiyle yazıldı ve otomatik bir adımda kaynak alıntılarıyla karşılaştırıldı; bu bir tıbbi doğrulama değildir ve içerik uzman radyolog incelemesinden geçmedi. Klinik kararlarda güncel kılavuzları, kurum protokollerini ve radyoloji raporunu esas alın.