《Slide 78.》Pyosalpinx, Fallopian tube

A. Brief Descriptions:

1. Pus collecting in the fallopian tube.

B. Gross Findings:

1. Distention of the tube which is filled with pus.

C. Micro Findings:

1. Swelling and edema in the plicae of the tube.

2. Pus in the lumen.

3. Thickened tubal wall with infiltration of acute & chronic inflammatory cells.

D. Others:

1. Severe inflammation in the tube may spread to the adjacent ovary, resulting in a tubo-ovarian abscess (TOA).

2. Occlusion of the fimbrial end of the tube prevents release of the tubal contents, so that a pyosalpinx may result.

E. Reference:

1. Robbins Pathologic Basis of Disease, 6^th ed.  P.1065.

　

 

 

【 Fig. 78-1 (LP)】The tubal wall is thickened and the lumen is filled with pus.

　

 

 

【 Fig. 78-2 (LP)】Inflammatory cells infiltrate the plicae.

　

 

 

【 Fig. 78-3 (HP)】Accumulation of necrotic debris and leukocytes in the lumen and the plicae.