Weibliche Geschlechtsorgane - Fallopian Tubes

Question 0

What is almost always the reason of salpingitis?

Answer 0

Inflammations of the tube are almost always microbial in orgin

Question 1

What is the most common disorder of the fallopian tubes?

Name the more uncommon disorder?

Answer 1

Salpingitis (most common disorder of fallopian tubes)

Less common: ectopic (tubal) pregnancy, endometriosis,
rarely primary tumors

Question 2

What are the pathogen of salpingitis?

Answer 2

1. declining incidence:
   
   • gonorrhea
2. major offenders: nongonococcal organisms
   
   • chlamydia
   • Mycoplasma hominis
   • coliforms
   • post partum: streprococci and staphylococci

Question 3

What is the danger of nongonococcal infections?

Answer 3

They may penetrate the wall of the tubes - blood-borne infections:
With seeding of the
- meninges
- joint spaces
- heart valves

Question 4

What are the clinical symptoms of salpingitis?

Answer 4

• fever
• lower abdominal pain
• lower pelvic pain
• pelvic masses -> because of the distention(Aufblähung) of the
  tubes with exudate or inflammatory debris(Schutt)

Question 5

Salpingitis: What may happen with the attached structures?

Answer 5

Adherence of the:

• inflamed tube
• to the Ovary
• and adjacent (angenzend) ligamentous tissue

—> may all result in a tuboovarian abscess

• very serious are adhesions of the tubal plicae, which are
  associated with increased risk of tubal ectopic pregnancy
• Damage to or obstruction of the tubal lumina may produce
  permanent sterility

Question 6

Name the kind of tumor of the fallopian tubes and the two subtypes!

Answer 6

Primary adenocarcinomas:

• serous
• endometrioid histologic type

Question 7

Tumor of the fallopian tubes

Which gen mutations is associated with a tumor in the tubes?

Answer 7

BRCA-mutation