Salpingitis isthmica nodosa

Salpingitis Isthamica Nodosa - A Rare Cause of Female Infertility: A Case Report

“…The actual incidence is not known as some of the patients will conceive and never undergo HSG. [7] The etiology & pathogenesis of salpingitis isthamica nodosa is uncertain. It is thought to be an inflammatory process similar to adenomyosis with or without chronic inflammatory process.…”

Application of ultrasonography in female infertility: a comprehensive review

“…25 The condition is often bilateral and is caused by scarring or adhesions of the distal tube from PID, adhesions from previous pelvic surgery or trauma, endometriosis and tubal neoplasm. 68,69 HSG demonstrates a dilated proximal tube with absence of free intra-peritoneal spillage of contrast. There is need for post procedural antibiotic prophylaxis (doxycycline) to prevent infection from stasis of contrast material within the obstructed tube.…”

“…The imaging characteristics of the fluid vary depending on whether the fluid is simple, hemorrhagic, protein or pus filled. 68,69 ( Table 1)…”

Endoscopic Explanation of Unexplained Infertility

“…Other rare tubal diseases are seldom investigated. For instance, salpingitis isthmica nodosa which is a nodular swelling of the isthmic segment of the fallopian tube are rarely reported [44]. Anatomically, mesosalpnix is defined as the part of the broad ligament enclosing a fallopian tube forming its mesentry.…”