What does pyosalpinx mean medically?

Pyosalpinx is a condition in which the fallopian tube fills up and swells with pus. The fallopian tube is the part of the female anatomy that connects the ovaries to the uterus. Eggs travel from the ovaries through the fallopian tube, and to the uterus. Pyosalpinx is a complication of pelvic inflammatory disease (PID).

What causes pyosalpinx?

Pyosalpinx or tubal abscess is an obstruction of the Fallopian tube, resulting in pus accumulation, which commonly results from the spread of bacteria from the lower genital tract. It is a serious complication from untreated or inadequately treated acute pelvic inflammatory disease associated with high morbidity [1].

What causes pus in the fallopian tube?

Salpingitis is inflammation of the fallopian tubes. Almost all cases are caused by bacterial infection, including sexually transmitted diseases such as gonorrhoea and chlamydia. The inflammation prompts extra fluid secretion or even pus to collect inside the fallopian tube.

Where is the adnexal mass located?

Adnexal Mass (Tumors) An adnexal mass forms near the uterus — in the ovaries, fallopian tubes or surrounding connective tissues. Most adnexal tumors are benign (noncancerous), but they can be malignant (cancerous). Many adnexal masses go away on their own, but some require treatment, which may include surgery.

What antibiotics treat pelvic infection?

Guidelines of the Centers for Disease Control and Prevention recommend outpatient treatment of PID with ofloxacin, levofloxacin, ceftriaxone plus doxycycline, or cefoxitin and probenecid plus doxycycline, all with optional metronidazole for full coverage against anaerobes and bacterial vaginosis (table 1) [13].

Is Pyosalpinx a tubo ovarian abscess?

Pyosalpinx can be a component of a tubo-ovarian abscess. Being unable to drain, the fallopian tube distends with pus, resulting in a pyosalpinx.

Can a cyst be mistaken for hydrosalpinx?

Most of the cases of large pyosalpinx or hydrosalpinx may be easily misdiagnosed on ultrasound as a case of a tuboovarian mass or abscess, an endometriotic cyst, or other specific ovarian tumors which may further complicate management.

How do you treat Pyosalpinx?

Pyosalpinx is most commonly treated with antibiotics. Tubal cannulation – it is a surgical procedure where a thin catheter is advanced through the proximal portion of the fallopian tube os to examine and possibly restore tubal patency.

How do you know if your fallopian tubes are infected?

Common symptoms include fever, unusual vaginal discharge, frequent urination, nausea, vomiting, lower back pain, pelvic pain, as well as pain during menstruation and sexual intercourse. In order to diagnose salpingitis, one will usually undergo clinical and physical examination.