Dilated fallopian tubes: MR imaging characteristics.

Outwater, Eric K.; Siegelman, Evan S.; Chiowanich, Pong; Kilger, Alex; Dunton, Charles J.; Talerman, Aleksander

doi:10.1148/radiology.208.2.9680577

Cited by 87 publications

(33 citation statements)

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“…On T2-weighted images, the signal intensity within the fallopian tube, with hematosalpinx, generally is very high relative to the typical signal intensity of an endometrioma, which displays moderate to marked T2 shading (12). Hematosalpinx has been reported to be an indication of endometriosis in certain cases and it may be the only imaging finding indicative of endometriosis (4,12).…”

Section: Discussionmentioning

confidence: 99%

Magnetic resonance imaging for diagnosis of pelvic lesions associated with female infertility

Badawy

Elkholi

Sherif

et al. 2015

Middle East Fertility Society Journal

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Objective: To study the mandatory indications and accuracy of magnetic resonance (MR) imaging for diagnosis of pelvic lesions associated with female infertility.Design: Prospective cross-sectional study. Main outcome measures: Indications and accuracy of MR imaging for diagnosis of pelvic lesions. Uterovaginal lesions were excluded as they were studied in a previous article (under publication).Materials and methods: 423 infertile women were investigated by hysterosalpingography (HSG), transabdominal and transvaginal ultrasonography after thorough clinical examination. Hundred and thirty (30.95%) patients were associated with pelvic lesions not conclusively diagnosed by HSG or/and ultrasonography and were examined by MR imaging to confirm the diagnosis. Fifty-four patients (41.53%) had uterovaginal lesions. They were discussed in a previous article. Seventy-six (58.46%) patients had other pelvic lesions. The present study concerned with these lesions.Results: The diagnosis by MR imaging was conclusive for 11 cases of pyosalpinx, 3 cases of hematosalpinx, 25 cases of hydrosalpinx, 24 cases of ovarian endometriomas, deep endometriosis of the of rectosigmoid (3 cases), urinary bladder (3 cases), one case of endometriosis of the abdominal wall after repeated cesarean sections and six ovarian tumors, 5 cases of benign cystic teratoma and 1 case of serous cystadenocarcinoma. The diagnosis of these lesions was confirmed by laparoscopy or laparotomy and histopathological examination. Magnetic resonance imaging failed to diagnose peritubal adhesions in 22 out of 39 cases (56.41%) of tubal lesions and peritoneal implants of endometriosis in 12 out of 31cases (38.70%) of pelvic endometriotic lesions. They were discovered during the surgical treatment of the tubal and ovarian lesions through laparoscopy or laparotomy.

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Section: Discussionmentioning

confidence: 99%

Magnetic resonance imaging for diagnosis of pelvic lesions associated with female infertility

Badawy

Elkholi

Sherif

et al. 2015

Middle East Fertility Society Journal

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“…The presence of multiple interdigitating folds of incompletely effaced mucosal and submucosal plicae have been described as a characteristic feature of a dilated fallopian tube 8. However, in a markedly dilated tube, these plicae may be completely effaced 9. Sometimes, a dilated fallopian tube can resemble a multicystic mass which can be confused for an ovarian tumor 10.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Chronic Ectopic Pregnancy Presenting as Large Hematosalpinx

Nacharaju

Vellanki

Gillellamudi

et al. 2014

Clin Med�Insights�Reprod�Health

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Ectopic pregnancy is defined as implantation and subsequent development of an embryo outside the uterine lining. It has wide range of presentation from acute hemoperitoneum to chronic ectopic pregnancy. This is an unusual case of chronic ectopic pregnancy with large hematosalpinx without classical symptoms. A 22-year-old South Indian woman reported to the outpatient clinic with irregular spotting for a duration of 2 months which was not associated with pain. There was no preceding amenorrhea and previous menstrual cycles were regular. Clinically, the patient was hemodynamically stable but severely anemic. The abdomen was soft on palpation, cervical movements were not tender, and human chorionic gonadotropin was absent in the urine. Ultrasound revealed a complex adnexal mass. Magnetic resonance imaging (MRI) revealed a large hematosalpinx. Laparoscopic left salpingectomy was conducted and histopathology confirmed ectopic pregnancy. Ectopic pregnancy presents diagnostic dilemmas in the absence of classical symptoms. MRI and laparoscopy are important tools in such a diagnostic dilemma.

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“…The visualization of incomplete longitudinal mucosal folds or plicae is a highly specific sign of a hydrosalpinx [23] (Fig. 14).…”

Section: Is It Ovarian or A Non-ovarian Mass?mentioning

confidence: 99%

Pitfalls in Imaging of Female Pelvic Masses

Horta

Cunha²

2017

Curr Radiol Rep

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Purpose of Review The purpose of this review is to highlight potential magnetic resonance (MR) imaging pitfalls that may mask and simulate ovarian cancer. Recent Findings MR imaging is the standard method for evaluating female pelvic masses of indeterminate origin, especially sonographically indeterminate adnexal masses. To define the correct origin and nature of a pelvic mass has an enormous clinical impact, namely in females of child-bearing age. This is particularly true in adnexal lesions. Ovarian cancer usually requires a cytoreductive surgery in a specialized oncological centre. In contrast, a benign ovarian lesion may be treated by simple resection in a general hospital. To help preventing diagnostic errors and in order to guide appropriate therapeutic management, radiologists should be aware of potential MR pitfalls that may mask and simulate ovarian cancer. Summary The first section of this article will describe the MR imaging protocol that authors perform in their oncological centre, highlighting how imaging techniques can be optimized in order to reduce pitfalls in the characterization of an indeterminate pelvic mass.In the next section, authors will revise the main anatomic and organ-specific signs that may allow the radiologist to determine the ovarian origin of a pelvic mass. Finally, benign gynaecological masses that may simulate ovarian cancer in a non-emergency setting will be discussed, with emphasis on features that may provide important clues to their diagnosis.

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Dilated fallopian tubes: MR imaging characteristics.

Abstract: MR imaging can depict most dilated fallopian tubes and differentiate them from other adnexal masses on the basis of morphologic features. On T1-weighted images, high signal intensity is correlated with the presence of endometriosis affecting the tube.

Cited by 87 publications

References 0 publications

Magnetic resonance imaging for diagnosis of pelvic lesions associated with female infertility

Magnetic resonance imaging for diagnosis of pelvic lesions associated with female infertility

A Rare Case of Chronic Ectopic Pregnancy Presenting as Large Hematosalpinx

Pitfalls in Imaging of Female Pelvic Masses

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