Pyosalpinx presenting as an ectopic pregnancy

Objective To report a case of a pyosalpinx presenting as an ectopic pregnan cy. Subject A 31-year-old patient was admitted with severe pain in the right il iac fossa 14 days after a curettage of the uterine cavity for missed aborti on following 10 weeks of amenorrhoea. Intervention An ultrasound scan showed a mass next to the right ovary with no evidence of retained products of conception. The beta-hCG level was 1258 IU l(-1). A laparoscopy suggested an ectopic pregnancy in the distal end o f the right tube. A salpingectomy was performed and the histopathological f indings were of acute salpingitis. Conclusion We describe a pyosalpinx after curettage of the uterine cavity, with high beta(.)-hCG levels from an intrauterine pregnancy, which indicate d the wrong diagnosis of an ectopic pregnancy.