Hydrosalpinx With Twisted Pedicle

I believe that hydrosalpinx with twisted pedicle has not been given the attention as a definite surgical condition which is its due. Ovarian cyst with twisted pedicle receives definite consideration in every differential diagnosis in which an acute pelvic lesion with tumor arises, yet hydrosalpinx with twisted pedicle is not mentioned in some of our textbooks of differential diagnosis, and others merely mention the possibility. I have encountered two such cases within a brief space of time, and feel that they should be reported. Both of these patients suffered the sudden, severe seizure which is characteristic of the same accident with ovarian cyst, and in each instance a complete twist of the broad ligament was found beneath a tremendously dilated fallopian tube. The tumor mass was in each instance from blue to black, and the fallopian tube contained blood. The lesion found in each was a hematosalpinx, and should be