OBJECTIVE: To establish the diagnosis of a right hydrosalpinx in a woman with primary infertility. DESIGN: Case report. SETTING: Departments of Obstetrics and Gynecology and Surgery, academic medical center and teaching hospital. PATIENT(S): A healthy 41-year-old woman with a history of primary infertility and a possible right hydrosalpinx. INTERVENTION(S): Operative laparoscopy, disconnection of right hydrosalpinx, peritoneal biopsies. MAIN OUTCOME MEASURE(S): Establishment of diagnosis with peritoneal biopsies. RESULT(S): The patient was diagnosed with peritoneal pseudomyxoma peritonei, which required further treatment. CONCLUSION(S): Malignancies, although rare, should always be part of the differential diagnosis of external causes of tubal disease.
OBJECTIVE: To establish the diagnosis of a right hydrosalpinx in a woman with primary infertility. DESIGN: Case report. SETTING: Departments of Obstetrics and Gynecology and Surgery, academic medical center and teaching hospital. PATIENT(S): A healthy 41-year-old woman with a history of primary infertility and a possible right hydrosalpinx. INTERVENTION(S): Operative laparoscopy, disconnection of right hydrosalpinx, peritoneal biopsies. MAIN OUTCOME MEASURE(S): Establishment of diagnosis with peritoneal biopsies. RESULT(S): The patient was diagnosed with peritoneal pseudomyxoma peritonei, which required further treatment. CONCLUSION(S): Malignancies, although rare, should always be part of the differential diagnosis of external causes of tubal disease.