Sharyn Ingram Katz MD, Presenter: Nothing to Disclose

Parvati Ramchandani MD, Abstract Co-Author: Nothing to Disclose

Drew Avedis Torigian MD, Abstract Co-Author: Nothing to Disclose

Evan Spencer Siegelman MD, Abstract Co-Author: Nothing to Disclose

Patients with hysterectomy but retained ovaries are at risk for hydrosalpinx. Our purpose was to assess the frequency of hydrosalpinx in women with hysterectomy without oophorectomy referred for MRI of the pelvis.

A total of 1568 consecutive pelvic MRI exams performed between 2003-2004 were selected from our radiology database and retrospectively reviewed. Examinations performed on male patients (N=526) or for the purpose of MRI guided biopsy (N=1) were excluded from the study. From the remaining female pelvic MRI examinations, patients with hysterectomy without oophorectomy were identified. The frequency of hydrosalpinx in this population was then determined.

Of the 1568 pelvic MRI examinations, 1042 were performed on females and 139 patients were status-post hysterectomy. Of the hysterectomy patients, a total of 53 had retained ovaries, 23% of which had hydrosalpinx (52 unilateral and 1 bilateral. The majority of this population were referred to MRI for characterization of cystic adnexal masses detected on other modalities.

Hydrosalpinx should be considered in the differential diagnosis for cystic adnexal masses in patients with hysterectomy but retained ovaries. Awareness of this entity may obviate invasive procedures for this benign diagnosis.

Patients with hysterectomy but retained ovaries are at risk for hydrosalpinx. Our purpose was to assess the frequency of hydrosalpinx in women with hysterectomy without oophorectomy referred for MRI of the pelvis.

A total of 1568 consecutive pelvic MRI exams performed between 2003-2004 were selected from our radiology database and retrospectively reviewed. Examinations performed on male patients (N=526) or for the purpose of MRI guided biopsy (N=1) were excluded from the study. From the remaining female pelvic MRI examinations, patients with hysterectomy without oophorectomy were identified. The frequency of hydrosalpinx in this population was then determined.

Of the 1568 pelvic MRI examinations, 1042 were performed on females and 139 patients were status-post hysterectomy. Of the hysterectomy patients, a total of 53 had retained ovaries, 23% of which had hydrosalpinx (52 unilateral and 1 bilateral. The majority of this population were referred to MRI for characterization of cystic adnexal masses detected on other modalities.

Hydrosalpinx should be considered in the differential diagnosis for cystic adnexal masses in patients with hysterectomy but retained ovaries. Awareness of this entity may obviate invasive procedures for this benign diagnosis.

Katz, S, Ramchandani, P, Torigian, D, Siegelman, E, Hydrosalpinx in the Fallopian Tube Remnant in Patients with Hysterectomy without Oophorectomy.  Radiological Society of North America 2005 Scientific Assembly and Annual Meeting, November 27 - December 2, 2005 ,Chicago IL. http://archive.rsna.org/2005/4419457.html