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Salpingitis is an infection causing inflammation in the fallopian tubes (also called salpinges). It is often included in the umbrella term of pelvic inflammatory disease (PID), along with endometritis, oophoritis, myometritis, parametritis, and peritonitis. [1] [2]
The blocked tube may become substantially distended giving the tube a characteristic sausage-like or retort-like shape. The condition is often bilateral and the affected tubes may reach several centimeters in diameter. The blocked tubes cause infertility. A fallopian tube filled with blood is a hematosalpinx, and with pus a pyosalpinx. [1]
The infection can be passed through vaginal, anal, oral, or manual sex. Of those who have an asymptomatic infection that is not detected by their doctor, approximately half will develop pelvic inflammatory disease (PID), a generic term for infection of the uterus, fallopian tubes, and/or ovaries.
The diagnosis is typically based on the presenting signs and symptoms. [2] It is recommended that the disease be considered in all women of childbearing age who have lower abdominal pain. [2] A definitive diagnosis of PID is made by finding pus involving the fallopian tubes during surgery. [2] Ultrasound may also be useful in diagnosis. [2]
It is characterized by nodular thickening of the tunica muscularis of the narrow (isthmic) portion of the fallopian tube. In severe cases, it leads to complete obliteration of the tubal lumen. It is uncommonly bilateral. [2] Gross findings: One or more nodules 1–2 mm, spanning up to 2 cm
[1] [2] It is an inflammatory mass involving the fallopian tube, ovary and, occasionally, other adjacent pelvic organs. A TOA can also develop as a complication of a hysterectomy. [3]: 103 Symptoms typically include fever, an elevated white blood cell count, lower abdominal-pelvic pain, and/or vaginal discharge. Fever and leukocytosis may be ...
Most infected men with symptoms have inflammation of the penile urethra associated with a burning sensation during urination and discharge from the penis. [19] In men, discharge with or without burning occurs in half of all cases and is the most common symptom of the infection. [ 22 ]
Symptoms in women may include vaginal discharge, burning or itching while urinating, painful sexual intercourse, severe pain in lower abdomen (if infection spreads to fallopian tubes), or fever (if infection spreads to fallopian tubes); however, many women do not show any symptoms. [66]