Bilateral tubal block and hydrosalpinx

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Infertility and history of previous myomectomy 2 months ago

Patient Data

Age: 40 years
Gender: Female

Hysterosalpingogram

Fluoroscopy

Bilateral distal tubal block and bilateral hdyrosalpinx. no immediate or peritoneal spill could be detected.

There is a thin tract arises from the fundus and fills an irregular cavity with contrast which empty its content later on.

ultrasound

Ultrasonography confirms the presence of contrast material within the fundal myometrium suggesting this cavity to be intramyometrial rather than extra uterine leakage.

Case Discussion

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