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Eosinophilic Salpingitis.

Badr AbdullGaffar¹, Amal Almulla

¹Pathology Section, Dubai Hospital, Dubai, United Arab Emirates.

International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists

|February 21, 2025

Summary

Eosinophil-rich salpingitis, a rare condition, is linked to parasitic infections or ruptured hemorrhagic ovarian cysts. This study explores the latter association, noting inflammation and potential links to ectopic pregnancies.

Keywords:

Corpus luteum Ectopic pregnancy Eosinophils Fallopian tube Hemorrhagic cyst Hemosiderin Salpingitis Schistosoma

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Area of Science:

Gynecologic Pathology
Reproductive Immunology
Inflammatory Diseases

Background:

Chronic salpingitis exhibits diverse inflammatory patterns.
Eosinophil-rich salpingitis is uncommon, often linked to parasitic infestations.
The association with ruptured hemorrhagic ovarian corpus luteum cysts is less understood.

Purpose of the Study:

To investigate eosinophil-rich salpingitis in women with ruptured hemorrhagic ovarian corpus luteum cysts and tubal schistosomiasis.
To describe histopathologic findings in these cases.
To explore the potential role of ruptured cysts in causing eosinophilic inflammation and ectopic pregnancies.

Main Methods:

Retrospective analysis of eight women diagnosed with eosinophil-rich salpingitis.
Histopathologic examination of fallopian tubes for eosinophilic infiltrate, edema, hemosiderin, and Schistosoma ova.
Clinical correlation with ovarian cysts and ectopic pregnancies.

Main Results:

Eight women (31-40 years) presented with eosinophil-rich salpingitis.
Histopathology revealed dense eosinophilic infiltrate, edema, and hemosiderin deposition in tubal walls.
Six patients had ipsilateral ruptured hemorrhagic ovarian corpus luteum cysts and ectopic pregnancies; two had Schistosoma ova.

Conclusions:

Eosinophilic salpingitis can be a secondary inflammatory response to ruptured hemorrhagic corpus luteum cysts, beyond parasitic causes.
Histopathologic features may suggest this association.
This inflammation might contribute to postinflammatory adhesions and ectopic pregnancies, warranting further research.