症例 challenge · Imaging / Gynecology / Ultrasound · teaching

Hydrosalpinx Imaging Diagnosis · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on AJR / Radiopaedia

Case #1Imaging / Gynecology / Ultrasound

📋 Case data

Identifying the adnexal cystic structureRounded/with solid component/inseparable from the ovary/suspicious mass

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Identifying the adnexal cystic structure

Adnexal cystic structure — tubular shape vs ovarian origin?

💡 Hydrosalpinx = distal obstruction causing tubal fluid (pus = pyosalpinx, blood = hematosalpinx); usually secondary to PID, ligation, endometriosis, postoperative adhesions. US signs: a tubular/S-C-shaped cyst separate from the ovary; cogwheel sign (thickened folds on cross-section = spokes, subacute), beads-on-a-string sign (mural nodules 2–3 mm, chronic), waist sign (opposing-wall indentations, + tubular = specific), incomplete septa; no flow.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.