Presentation
Primary infertility
Patient Data
Age: 25
Gender: Female
From the case:
Cornual block
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- right fallopian tube outline is not seen with no peritoneal spillage on right side
- the uterine cavity appears normal in size and outline
- no filling defect seen within the uterine cavity
- left fallopian tube is well opacified with normal caliber and outline. Free peritoneal spillage seen on left side.
Case Discussion
Cornual block presents with a history of primary or secondary infertility. It may occur due to nonspecific salpingitis following abortion. Cornual spasm mimics cornual block in hysterosalpingography. Approximately two-thirds of the fallopian tubes resected for cornual block reveal transient cornual spasm. It is necessary to identify cornual block from cornual spasm to avoid unnecessary intervention.
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