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Congress: ECR25
Poster Number: C-22027
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-22027
Authorblock: S. Rassool1, M. M. Kiandee1, W. Tan1, S. Ghattamaneni2, D. Kasir2; 1Manchester/UK, 2Altrincham/UK
Disclosures:
Swabirah Rassool: Nothing to disclose
Miraen M Kiandee: Nothing to disclose
Wendy Tan: Nothing to disclose
Sunethra Ghattamaneni: Nothing to disclose
Dina Kasir: Nothing to disclose
Keywords: Genital / Reproductive system female, Pelvis, CT, MR, Ultrasound, Diagnostic procedure, Education, Acute, Education and training, Infection
Learning objectives To describe the anatomy and review multi-modality imaging appearances of a spectrum of conditions affecting the fallopian tubes.
Read more Background Knowledge of the embryological development and normal anatomy of the fallopian tubes is key to understanding fallopian tube disease. [fig 1]   [fig 2]  ImagingThe imaging modality of choice for investigating fallopian tube disease will depend on the presentation. Signs and symptoms can, however, be non-specific and mimic uterine, ovarian, or bowel pathology. These usually include lower abdominal pain, per vaginal discharge or bleeding, and infertility.Transvaginal ultrasound (TVUS) is usually the first-line investigation. Magnetic resonance imaging (MRI), with higher tissue resolution, is reserved for problem-solving in...
Read more Findings and procedure details Fallopian tube pathology typically causes luminal obstruction and dilatation, thereby enabling visualisation on cross-sectional imaging as they are usually only seen if dilated. There may be associated mural thickening, hyperaemia, mass, and/or adjacent free fluid. The tubal contents can also aid in differentiating between conditions. [fig 3]  HydrosalpinxHydrosalpinx is a fluid-filled dilatation of the fallopian tubes caused by tubal obstruction, usually due to pelvic adhesions. The occlusion can be at the ampullary segment or both medial and lateral ends. It can be unilateral or bilateral. It can...
Read more Conclusion The clinical presentation of fallopian tube disease can be non-specific. Appropriate imaging modality along with pertinent clinical information are key for correct and timely diagnosis. It is also essential that radiologists are familiar with the disease spectrum, and normal and abnormal radiological appearances to ensure appropriate diagnosis and management in both acute and non-acute settings.
Read more References Unpublished images: Department of Radiology, Greater Manchester Hospitals. Rezvani M, Shaaban AM. Fallopian tube disease in the nonpregnant patient. 2011 Mar-Apr; 31(2):527-48. doi: 10.1148/rg.312105090. Revzin MV, Moshiri M, Katz DS, Pellerito JS, Mankowski Gettle L, Menias CO. Imaging Evaluation of Fallopian Tubes and Related Disease: A Primer for Radiologists. Radiographics. 2020 Sep-Oct;40(5):1473-1501. doi: 10.1148/rg.2020200051. Epub 2020 Aug 21. Ghattamaneni S, Bhuskute NM, Weston MJ, Spencer JA. Discriminative MRI features of fallopian tube masses. Clin Radiol. 2009 Aug;64(8):815-31. doi: 10.1016/j.crad.2009.03.007. Epub 2009 May 29.
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