Presentation
Primary infertility. No history of previous surgery
Patient Data
Age: 30 years
Gender: Female
From the case:
Bilateral tubal block
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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.