Fallopian tube cysts

  Introduction: Tubal cysts are a type of adnexal cysts, which are mainly caused by pathogenic infection of the fallopian tubes, resulting in swelling of the endothelium, interstitial edema and exudation due to leukocyte infiltration, leading to detachment of the mucosal epithelium of the fallopian tubes. If the acute inflammation of the fallopian tubes is not effectively treated in time, tubal pus will be formed. After the inflammation subsides, the pus in the fallopian tube is gradually absorbed and the fluid in the lumen changes from purulent to plasma, thus forming a cyst in the fallopian tube.  Hazards: 1. Infertility: When the tubal cysts grow to a certain stage, they will cause adhesion and blockage of the fallopian tubes and destroy the normal physiological function of the tubes, thus leading to infertility.  2. Ectopic pregnancy: tubal cysts cause occlusion, cysts or adhesions, which can hinder the movement of sperm, eggs or fertilized eggs, resulting in obstacles for fertilized eggs to reach the uterine cavity and ectopic pregnancy. 3. Cancer: Long-term growth of tubal cysts can lead to cyst deterioration and cancer. According to statistics, the incidence of ovarian and fallopian tube cancer is much higher in patients with fallopian tube cysts than in normal people.  Symptoms: (a) Vaginal discharge: 50% of patients with fallopian tube cysts have vaginal discharge, which is yellow watery liquid, usually odorless, with varying amounts, often intermittent. This is the most specific symptom of the disease.  (b) Abdominal pain: Tubal cysts are usually dull pain in the lower abdomen on the affected side, caused by the expansion of the fallopian tubes. Sometimes it is paroxysmal colic, caused by spasmodic contraction of the oviduct. The pain is relieved by the discharge of a large amount of fluid from the lower vagina, and in a few cases, severe abdominal pain is caused by complications.  (iii) Lower abdominal mass: thickening or masses of one or both fallopian tubes can often be palpated during gynecological examination in patients with fallopian tube cysts. The masses are solid and cystic in nature, salami-like or irregular in shape, with light tenderness and often restricted in movement. The masses shrink after fluid drainage. After fluid accumulation, the mass will increase in size again.  (d) Vaginal bleeding: Tubal cysts mostly occur in the middle of menstruation or after menopause, with irregular small amount of bleeding and often negative scraping.  Treatment: Tubal cysts are mainly caused by inflammation. For tubal cysts that are relatively small, they do not require surgical treatment, but they should be closely observed. The reason is that the growth rate of tubal cysts is relatively fast, and if it is serious, surgery is required.  At present, surgery for tubal cysts is usually performed 3-7 days after menstruation and with physical therapy to prevent recurrence of the cysts.  The actual situation needs to be seen by a hospital for symptomatic treatment, and this article is for reference only.