PMC5898046_01
Hysterosalpingography showing normal uterine cavity and bilateral proximal tubal occlusion
40738_2018_47_Fig1_HTML.jpg
PMC5898046_01_40738_2018_47_Fig1_HTML.jpg
Fig1
A hysterosalpingography (HSG) done with antibiotic prophylaxis (amoxicilline-clavulanic acid) showed a normal uterine cavity with bilateral proximal tubal obstruction (Fig. 1).
Showing peri-hepatic adhesions
40738_2018_47_Fig2_HTML.jpg
PMC5898046_01_40738_2018_47_Fig2_HTML.jpg
Fig2
At laparoscopy, there were abundant peri-hepatic adhesions (perihepatitis or Fitz-Hugh-Curtis syndrome) (Fig. 2), free serous peritoneal fluid that was collected and sent for bacteriology and acid-fast bacilli.
Panoramic view of pelvic organs
40738_2018_47_Fig3_HTML.jpg
PMC5898046_01_40738_2018_47_Fig3_HTML.jpg
Fig3
Both tubes were whitish in colour, swollen, severely inflamed and distorted with bilateral distal obstruction (Fig. 3).
Drainage of pus from the fallopian tube
40738_2018_47_Fig4_HTML.jpg
PMC5898046_01_40738_2018_47_Fig4_HTML.jpg
Fig4
We did bilateral salpingostomy and drained abundant purulent secretions from both tubes (Figs. 4 and 5).
PUS mixed with blood in the pouch of douglas
40738_2018_47_Fig5_HTML.jpg
PMC5898046_01_40738_2018_47_Fig5_HTML.jpg
Fig5
We did bilateral salpingostomy and drained abundant purulent secretions from both tubes (Figs. 4 and 5).