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Hematosalpinx

Laparoscopic view, looking from superiorly to inferiorly in the peritoneal cavity which has been pumped up with carbon dioxide gas to visualize the uterus (marked by blue arrows). On the left fallopian tube there is an ectopic pregnancy and hematosalpinx (marked by red arrows). The right tube is normal.
Specialty	Urology

Hematosalpinx (sometimes also hemosalpinx) is a medical condition involving bleeding into the fallopian tubes.

Symptoms

A hematosalpinx from a tubal pregnancy may be associated with pelvic pain and uterine bleeding. A gynecologic ultrasound will show the hematosalpinx. A hematosalpinx from other conditions may be painless but could lead to uterine bleeding.

Causes

A number of causes may account for a hematosalpinx, by far the most common being a tubal pregnancy. Blood may also escape into the peritoneal cavity leading to a hemoperitoneum. A hematosalpinx can also be associated with endometriosis or tubal carcinoma. Further, if menstrual blood flow is obstructed (cryptomenorrhea), caused for instance by a transverse vaginal septum, and gets backed up it may lead to a hematosalpinx.

Diagnosis

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Diagnosis may include, but is not limited to, ultrasound, magnetic resonance imaging (MRI) and laparoscopy.

Treatment

Treatment is directed at the underlying condition and is usually surgical.

References

External links

Classification

Disorders of bleeding and clotting

Clotting

By cause	Clotting factors Antithrombin III deficiency Protein C deficiency Activated protein C resistance Protein S deficiency Factor V Leiden Prothrombin G20210A Platelets Sticky platelet syndrome Thrombocytosis Essential thrombocythemia DIC Purpura fulminans Antiphospholipid syndrome
Clots	Thrombophilia Thrombus Thrombosis Virchow's triad Trousseau sign of malignancy
By site	Deep vein thrombosis Bancroft's sign Homans sign Lisker's sign Louvel's sign Lowenberg's sign Peabody's sign Pratt's sign Rose's sign Pulmonary embolism Renal vein thrombosis

Bleeding

By cause

Thrombocytopenia	Thrombocytopenic purpura: ITP Evans syndrome TM TTP Upshaw–Schulman syndrome Heparin-induced thrombocytopenia May–Hegglin anomaly
Platelet function	adhesion Bernard–Soulier syndrome aggregation Glanzmann's thrombasthenia platelet storage pool deficiency Hermansky–Pudlak syndrome Gray platelet syndrome
Clotting factor	Hemophilia A/VIII B/IX C/XI von Willebrand disease Hypoprothrombinemia/II Factor VII deficiency Factor X deficiency Factor XII deficiency Factor XIII deficiency Dysfibrinogenemia Congenital afibrinogenemia

Signs and symptoms

By site

Female diseases of the pelvis and genitals

Internal

Adnexa

Ovary	Endometriosis of ovary Female infertility Ovulatory disorder Anovulation Oligoovulation Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian torsion
Fallopian tube	Female infertility Fallopian tube obstruction Hematosalpinx Hydrosalpinx Salpingitis

Uterus

Endometrium

Asherman's syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis
Menstruation	Flow Amenorrhea Hypomenorrhea Oligoamenorrhea Oligomenorrhea Polymenorrhea (epimenorrhea) Pain Dysmenorrhea Premenstrual syndrome Timing Menorrhagia (hypermenorrhea) Metrorrhagia Mixed Menometrorrhagia Polymenorrhagia Other Metropathia haemorrhagica
Female infertility Recurrent miscarriage

Myometrium

Parametrium

Parametritis

Cervix

General

Vagina

Hematocolpos / Hydrocolpos Leukorrhea / Vaginal discharge Vaginitis Atrophic vaginitis Bacterial vaginosis Candidal vulvovaginitis Hydrocolpos Vaginal atresia
Sexual dysfunction	Dyspareunia Hypoactive sexual desire disorder Sexual arousal disorder Vaginismus
Urogenital fistulas Ureterovaginal Vesicovaginal Obstetric fistula Rectovaginal fistula Prolapse Cystocele Enterocele Rectocele Sigmoidocele Urethrocele
Vaginal bleeding Postcoital bleeding

Other

External

Vulva	Bartholin's cyst Kraurosis vulvae Vestibular papillomatosis Vulvitis Vulvodynia
Clitoral hood or clitoris	Persistent genital arousal disorder