Misdiagnosis Analysis of 2 Cases of Hemorrhagic Salpingitis

WU Chang-fen; WANG Wei

doi:10.3969/j.issn.1002-3429.2015.11.010

Abstract：Objective To investigate the clinical characteristics and differential diagnosis of hemorrhagic salpingitis, analyze the cause of misdiagnosis and propose preventive measures. Methods The clinical data of two misdiagnosed cases of hemorrhagic salpingitis were retrospectively analyzed. Results The two patients were admitted for abdominal pain, including one case with a history of induced abortion accompanied with a small amount of vaginal bleeding, fever, nausea, vomiting, and peritoneal irritation. One case was misdiagnosed as tubal pregnancy in our hospital, and the exploratory laparotomy was performed. The pathological examination confirmed hemorrhagic salpingitis. The patients was cured after anti-infection treat-ment. The other case was misdiagnosed as ovarian rupture in other hospitals. The patient was transferred to our hospital and was suspected as having fallopian tube bleeding according to the patient's condition and examination results. The patient recov-ered after conservative treatment of anti infection. Conclusion In the clinical treatment, hemorrhagic salpingitis are rare and likely to cause wrong diagnosis. When clinicians make diagnosis for female patients with abdominal pain as the main initial manifestation, they should take hemorrhagic salpingitis into account. After special inspection, according to the patient's history and clinical presentation, doctors can make the correct diagnosis.