Objective: To establish the diagnosis of a right hydrosalpinx in a woman with primary infertility.
Design: Case report.
Setting: Departments of Obstetrics and Gynecology and Surgery, academic medical center and teaching hospital.
Patient(s): A healthy 41-year-old woman with a history of primary infertility and a possible right hydrosalpinx.
Intervention(s): Operative laparoscopy, disconnection of right hydrosalpinx, peritoneal biopsies.
Main outcome measure(s): Establishment of diagnosis with peritoneal biopsies.
Result(s): The patient was diagnosed with peritoneal pseudomyxoma peritonei, which required further treatment.
Conclusion(s): Malignancies, although rare, should always be part of the differential diagnosis of external causes of tubal disease.