Bilateral tubal block

Case contributed by Zahi Khaled Al rawadeh
Diagnosis almost certain


Primary infertility. No history of previous surgery

Patient Data

Age: 30 years
Gender: Female

Hysterosalpingography study revealed non-opacification of both fallopian tubes with no evidence of peritoneal spillage of contrast medium.

Extensive intravasation of contrast into the myometrial and ovarian vessels.

Normal endometrial size, shape, and outline with no persistent filling defects.

Case Discussion

This tubal disease can be secondary to mucus plugs, fibroids, endometriosis, scarring, or inflammation.

Proximal tubal blockage makes up 10-25% of cases of tubal disease, and hysterosalpingography usually diagnoses it.

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