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Pyosalpinx

MedGen UID:
18785
•Concept ID:
C0034220
•
Disease or Syndrome
Synonyms: Pyosalpingitis; pyosalpingitis; pyosalpinx
SNOMED CT: Pyosalpinx (397810006); Pyosalpingitis (397810006)
 
Monarch Initiative: MONDO:0003618

Definition

The presence of pus in the fallopian tube. It is usually caused by acute salpingitis. The fallopian tube is distended and filled with pus. Histologic examination reveals edema and acute and chronic inflammation. Symptoms include fever, vaginal discharge, and pelvic pain. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPyosalpinx

Professional guidelines

PubMed

The value of ultrasonographic tubo-ovarian abscess morphology in predicting whether patients will require surgical treatment.
Kinay T, Unlubilgin E, Cirik DA, Kayikcioglu F, Akgul MA, Dolen I
Int J Gynaecol Obstet 2016 Oct;135(1):77-81. Epub 2016 Jun 17 doi: 10.1016/j.ijgo.2016.04.006. PMID: 27381446
Can the impact of pelvic inflammatory disease on fertility be prevented? Epidemiology, clinical features and surgical treatment: evolution over 8 years.
Patrelli TS, Franchi L, Gizzo S, Salvati MA, Berretta R, Piantelli G, Modena AB
J Reprod Med 2013 Sep-Oct;58(9-10):425-33. PMID: 24050032
Laparoscopic diagnosis and treatment of acute pyosalpinx.
Teisala K, Heinonen PK, Punnonen R
J Reprod Med 1990 Jan;35(1):19-21. PMID: 2137179

Recent clinical studies

Etiology

Surgical disorders in pediatric and adolescent gynecology: Adnexal abnormalities.
Mentessidou A, Mirilas P
Int J Gynaecol Obstet 2023 Jun;161(3):702-710. Epub 2022 Nov 26 doi: 10.1002/ijgo.14574. PMID: 36373872
Bilateral hydrosalpinx in patients with Hirschsprung's disease.
Palazón P, Saura L, de Haro I, Martín-Solé O, Albert A, Tarrado X, Julià V
J Pediatr Surg 2018 Oct;53(10):1945-1950. Epub 2018 Jan 31 doi: 10.1016/j.jpedsurg.2018.01.011. PMID: 29467083
Comparison of severe pelvic inflammatory disease, pyosalpinx and tubo-ovarian abscess.
Kim HY, Yang JI, Moon C
J Obstet Gynaecol Res 2015 May;41(5):742-6. Epub 2014 Nov 3 doi: 10.1111/jog.12617. PMID: 25363239
Impact of T. vaginalis infection on innate immune responses and reproductive outcome.
Fichorova RN
J Reprod Immunol 2009 Dec;83(1-2):185-9. Epub 2009 Oct 21 doi: 10.1016/j.jri.2009.08.007. PMID: 19850356Free PMC Article
Tubo-ovarian abscess: CT and pathological correlation.
Jeong WK, Kim Y, Song SY
Clin Imaging 2007 Nov-Dec;31(6):414-8. doi: 10.1016/j.clinimag.2007.04.024. PMID: 17996605

Diagnosis

Imaging Evaluation of Fallopian Tubes and Related Disease: A Primer for Radiologists.
Revzin MV, Moshiri M, Katz DS, Pellerito JS, Mankowski Gettle L, Menias CO
Radiographics 2020 Sep-Oct;40(5):1473-1501. Epub 2020 Aug 21 doi: 10.1148/rg.2020200051. PMID: 32822282
Xanthogranulomatous Salpingitis.
Chiesa-Vottero A
Int J Gynecol Pathol 2020 Sep;39(5):468-472. doi: 10.1097/PGP.0000000000000625. PMID: 31433377
MRI in pelvic inflammatory disease: a pictorial review.
Czeyda-Pommersheim F, Kalb B, Costello J, Liau J, Meshksar A, Arif Tiwari H, Martin D
Abdom Radiol (NY) 2017 Mar;42(3):935-950. doi: 10.1007/s00261-016-1004-4. PMID: 27933478
Magnetic resonance imaging structured reporting in infertility.
Montoliu-Fornas G, Martí-Bonmatí L
Fertil Steril 2016 Jun;105(6):1421-31. Epub 2016 Apr 19 doi: 10.1016/j.fertnstert.2016.04.005. PMID: 27105717
Paratubal and tubal abnormalities.
Perlman S, Hertweck P, Fallat ME
Semin Pediatr Surg 2005 May;14(2):124-34. doi: 10.1053/j.sempedsurg.2005.01.009. PMID: 15846570

Therapy

Xanthogranulomatous Salpingitis Presenting as Pyosalpinx in a Non-Sexually Active Adolescent Girl.
Boleken ME, Günendi T, Yol C, Kaya V, Kocaman OH, Dörterler ME
J Pediatr Adolesc Gynecol 2023 Jun;36(3):324-327. Epub 2023 Feb 9 doi: 10.1016/j.jpag.2023.01.214. PMID: 36764511
The Dangers of Hymenotomy for Imperforate Hymen: A Case of Iatrogenic Pelvic Inflammatory Disease with Pyosalpinx.
Wong JWH, Siarezi S
J Pediatr Adolesc Gynecol 2019 Aug;32(4):432-435. Epub 2019 Apr 9 doi: 10.1016/j.jpag.2019.04.002. PMID: 30974214
Comparative Study of Laparoscopic Abdominopelvic and Fallopian Tube Findings Before and After Antitubercular Therapy in Female Genital Tuberculosis With Infertility.
Sharma JB, Sneha J, Singh UB, Kumar S, Roy KK, Singh N, Dharmendra S, Vanamail P
J Minim Invasive Gynecol 2016 Feb 1;23(2):215-22. Epub 2015 Oct 8 doi: 10.1016/j.jmig.2015.09.023. PMID: 26455527
Pyosalpinx: not always a sexual transmitted disease? Pyosalpinx caused by Plesiomonas shigelloides in an immunocompetent host.
Roth T, Hentsch C, Erard P, Tschantz P
Clin Microbiol Infect 2002 Dec;8(12):803-5. doi: 10.1046/j.1469-0691.2002.00443.x. PMID: 12519354
Pelvic inflammatory disease. From diagnosis to prevention.
Paavonen J
Dermatol Clin 1998 Oct;16(4):747-56, xii. doi: 10.1016/s0733-8635(05)70041-3. PMID: 9891675

Prognosis

Evaluation of Gene Xpert as compared to conventional methods in diagnosis of Female Genital Tuberculosis.
Sharma JB, Dharmendra S, Jain S, Sharma SK, Singh UB, Soneja M, Sinha S, Vanamail P
Eur J Obstet Gynecol Reprod Biol 2020 Dec;255:247-252. Epub 2020 Oct 3 doi: 10.1016/j.ejogrb.2020.09.046. PMID: 33256922
MRI in pelvic inflammatory disease: a pictorial review.
Czeyda-Pommersheim F, Kalb B, Costello J, Liau J, Meshksar A, Arif Tiwari H, Martin D
Abdom Radiol (NY) 2017 Mar;42(3):935-950. doi: 10.1007/s00261-016-1004-4. PMID: 27933478
The value of ultrasonographic tubo-ovarian abscess morphology in predicting whether patients will require surgical treatment.
Kinay T, Unlubilgin E, Cirik DA, Kayikcioglu F, Akgul MA, Dolen I
Int J Gynaecol Obstet 2016 Oct;135(1):77-81. Epub 2016 Jun 17 doi: 10.1016/j.ijgo.2016.04.006. PMID: 27381446
Isolated Torsion of Accessory Fallopian Tube in a Young Adolescent.
Rottenstreich M, Smorgick N, Pansky M, Vaknin Z
J Pediatr Adolesc Gynecol 2016 Aug;29(4):e57-8. Epub 2016 Mar 17 doi: 10.1016/j.jpag.2016.03.003. PMID: 26995509
Pelvic inflammatory disease. From diagnosis to prevention.
Paavonen J
Dermatol Clin 1998 Oct;16(4):747-56, xii. doi: 10.1016/s0733-8635(05)70041-3. PMID: 9891675

Clinical prediction guides

Bilateral hydrosalpinx in patients with Hirschsprung's disease.
Palazón P, Saura L, de Haro I, Martín-Solé O, Albert A, Tarrado X, Julià V
J Pediatr Surg 2018 Oct;53(10):1945-1950. Epub 2018 Jan 31 doi: 10.1016/j.jpedsurg.2018.01.011. PMID: 29467083
The value of ultrasonographic tubo-ovarian abscess morphology in predicting whether patients will require surgical treatment.
Kinay T, Unlubilgin E, Cirik DA, Kayikcioglu F, Akgul MA, Dolen I
Int J Gynaecol Obstet 2016 Oct;135(1):77-81. Epub 2016 Jun 17 doi: 10.1016/j.ijgo.2016.04.006. PMID: 27381446
Large bilateral tubercular pyosalpinx in a young woman with genitourinary malformation: a case report.
Gascón J, Acién P
J Med Case Rep 2014 Jun 3;8:176. doi: 10.1186/1752-1947-8-176. PMID: 24894269Free PMC Article
Ultrasound for diagnosing acute salpingitis: a prospective observational diagnostic study.
Romosan G, Bjartling C, Skoog L, Valentin L
Hum Reprod 2013 Jun;28(6):1569-79. Epub 2013 Mar 15 doi: 10.1093/humrep/det065. PMID: 23503942
Pseudocarcinomatous hyperplasia of the fallopian tube associated with salpingitis. A report of 14 cases.
Cheung AN, Young RH, Scully RE
Am J Surg Pathol 1994 Nov;18(11):1125-30. doi: 10.1097/00000478-199411000-00006. PMID: 7943533

Recent systematic reviews

Exploring the presence of markers of decidualization in the fallopian tubes: a systematic review.
Aljassim F, Georgopoulou N, Rigby CH, Powell SG, Wyatt JNR, Hapangama DK, Hill CJ
Biol Reprod 2023 Aug 10;109(2):125-136. doi: 10.1093/biolre/ioad062. PMID: 37265359Free PMC Article

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