hematosalpinx hematosalpinx hematosalpinx (sometimes also hemosalpinx) is a medical condition involving bleeding into the fallopian tubes. hematosalpinxlaparoscopic view, looking from superiorly to inferiorly in the peritoneal cavity which has been pumped up with carbon dioxide gas to visualize the uterus (marked by blue arrows). on the left fallopian tube there is an ectopic pregnancy and hematosalpinx (marked by red arrows). the right tube is normal.specialtyurology symptoms a hematosalpinx from a tubal pregnancy may be associated with pelvic pain and uterine bleeding. a gynecologic ultrasound will show the hematosalpinx. a hematosalpinx from other conditions may be painless but could lead to uterine bleeding. causes a number of causes may account for a hematosalpinx, by far the most common being a tubal pregnancy. blood may also escape into the peritoneal cavity leading to a hemoperitoneum. a hematosalpinx can also be associated with endometriosis or tubal carcinoma. further, if menstrual blood flow is obstructed (cryptomenorrhea), caused for instance by a transverse vaginal septum, and gets backed up it may lead to a hematosalpinx. diagnosis diagnosis may include, but is not limited to, ultrasound, magnetic resonance imaging (mri) and laparoscopy. treatment treatment is directed at the underlying condition and is usually surgical.