Salpingitis isthmica nodosa: a review of the literature, discussion of clinical significance, and consideration of patient management.

Abstract:

OBJECTIVES:To examine and discuss the pathology, diagnosis, incidence, and patient profile of salpingitis isthmica nodosa and to question its natural history, propose management strategies, and identify areas of promising research. DESIGN:Over 50 studies were reviewed, evaluated, and compared to offer the clinician a foundation on which to generate treatment plans. RESULTS:Salpingitis isthmica nodosa is diagnosed by the pathological presence of isthmic diverticula and may be suggested by characteristic changes on hysterosalpingogram. Its incidence in healthy, fertile women ranges from 0.6% to 11%, but it is significantly more common in the setting of ectopic pregnancy and infertility. There are no studies, retrospective or prospective, that clearly dictate appropriate therapy. CONCLUSION:Given its progressive nature and probable deleterious effects on fertility, we propose that microtubal surgery be the definitive treatment for qualified women who have salpingitis isthmica nodosa.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Jenkins CS,Williams SR,Schmidt GE

doi

10.1016/s0015-0282(16)56207-4

subject

Has Abstract

pub_date

1993-10-01 00:00:00

pages

599-607

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(16)56207-4

journal_volume

60

pub_type

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