Pseudomyxoma peritonei: a rare differential diagnosis of hydrosalpinx.

OBJECTIVE

To establish the diagnosis of a right hydrosalpinx in a woman with primary infertility.

DESIGN

Case report.

SETTING

Departments of Obstetrics and Gynecology and Surgery, academic medical center and teaching hospital.

PATIENT(S): A healthy 41-year-old woman with a history of primary infertility and a possible right hydrosalpinx.

INTERVENTION(S): Operative laparoscopy, disconnection of right hydrosalpinx, peritoneal biopsies.

MAIN OUTCOME MEASURE(S): Establishment of diagnosis with peritoneal biopsies.

RESULT(S): The patient was diagnosed with peritoneal pseudomyxoma peritonei, which required further treatment.

CONCLUSION(S): Malignancies, although rare, should always be part of the differential diagnosis of external causes of tubal disease.