A case of hydrosalpinx associated with the menstrual cycle.
OBJECTIVE
To describe a case report of hydrosalpinx that changed dramatically in size during the menstrual cycle.


METHODS
Case report.


METHODS
University teaching hospital reproductive endocrinology and infertility practice.


METHODS
A 32-year-old woman with a history of medical and surgical treatments of endometriosis who sought infertility treatment.


METHODS
Transvaginal ultrasonography performed sequentially during menstrual cycles.


METHODS
Size of hydrosalpinx-like image.


RESULTS
The size of the hydrosalpinx-like image in the left adnexal region varied; it peaked during the ovulatory period and then remarkably diminished in a cyclic manner. Laparoscopy revealed a dense adhesion between the left tubal fimbriated end and the posterior uterine wall, which led to terminal obstruction of the tube.


CONCLUSIONS
Change in the volume of the hydrosalpinx in this case was speculated to reflect the normal tubal fluid production regulated by ovarian hormones.
Osuga
Yutaka
Y
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Tokyo, Japan. yutakaos-tky@umin.ac.jp
Koga
Kaori
K
Hirata
Tetsuya
T
Hiroi
Hisahiko
H
Taketani
Yuji
Y
D000290:Adnexa Uteri / Q000000981:diagnostic imaging / Q000378:metabolism* / Q000601:surgery; D000328:Adult; D001826:Body Fluids / Q000378:metabolism*; D004715:Endometriosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000378:metabolism / Q000601:surgery; D005184:Fallopian Tube Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000378:metabolism* / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D008597:Menstrual Cycle / Q000378:metabolism*; D014463:Ultrasonography