This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous (Gynae), Subject name: Gynaecology & Obstetrics
Surest sign of salpingitis is 
Select and explain. 
A. Edema of tubes, B. Enlargement of tubes, C. Seropurelent discharge from the part of the tube, D. Hyperaemic tubes
C: Seropurelent discharge from the part of the tube
Answer: C: Seropurelent discharge from the part of the tube 
Explanation: [Cl (Seropuralent discharge from the part of tubes) (419-S) (166-Gynae -Dutta 5th)Acute salpingitis, the fallopian tube is swollen, oedematous, and hyperaemic with visible dilated vessels on the peritoneal surface. Some degree of serous exudation is seen around the fallopian tubes.* The sure sign of salpingitis is the discharge of seropurulent fluid from the fimbrial end of the tubes, without which the diagnosis cannot be justified at laparotomy, as the peritoneal surface may be inflamed in pelvic peritonitis due to any other cause.