Bilateral tubal block and hydrosalpinx

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Primary infertility and history of pelvic inflammatory disease.

Patient Data

Age: 40 years
Gender: Female
Fluoroscopy
Frontal
Frontal
Frontal
Frontal
Frontal
Frontal
Frontal
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Info

The body of the uterus is situated in the midline of the pelvic cavity and has a normal shape and contour.

The cervical canal is of normal length and is normally expanded.

The fallopian tubes are gradually filled and demonstrate abnormal length, diameter, and peristalsis, with retained contrast material and minimal spillage due to bilateral hydrosalpinx.

In the delayed imaging, contrast material is still observed in the fallopian tubes and the peritubal spaces, suggesting the presence of pelvic adhesions.

Case Discussion

Hysterosalpingography findings were compatible with bilateral tubal block and hydrosalpinx because of peritubal adhesions.

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