Pyosalpinx

Clinical History

No clinical information is available.

Pathology

There are two fallopian tubes. One is viewed from the serosal aspect; the other has been opened to display the lumen. The tubes are elongated and considerably distended. On the external surface there are many fibrous adhesions due to previous inflammation. When opened, these tubes contained pus.

Note

A pyosalpinx is a fallopian tube filled with pus. This condition is a complication of acute suppurative salpingitis, which is usually an ascending infection from the lower genital tract. Acute salpingitis may be due to gonococcal infection, Chlamydia, Mycoplasma or mixed enteric organisms. Predisposing factors which may lead to a mixed infection include spontaneous and induced abortion, intra-uterine contraceptive devices, and post-partum infections of the uterine cavity. Occasionally in a pyosalpinx the pus may be absorbed leaving dilated tubes filled with serous fluid. This condition is known as hydrosalpinx.