Presentation
Lower abdominal pain, history of endometrial polyp removal. She complained of primary infertility for 18 years.
Patient Data
The uterine cavity is V-shaped with intercornual distance of 34 mm (<40 mm) and fundal indentation depth of 17 mm below intercornual line (>10 mm) and acute angle between the two fundal divisions 85° (<90°), suggestive of partial septate (subseptate) uterus.
The uterine cavity shows linear irregular fixed filling defects along the scan phases, suggestive of uterine adhesions, possibly Asherman syndrome.
No opacification or excretion of both fallopian tubes, suggestive of bilateral complete block.
Case Discussion
The patient has primary infertility for 18 years. Hysterosalpingogram shows features of tubal block and Asherman syndrome as well as subseptate uterus. Each of these entities is a known cause of infertility.
Complementary ultrasound (not uploaded) showed normal shape of the uterus with a uniformly convex shape of the uterine fundus with no indentation, excluding bicornuate uterus.
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