Cornual block

Case contributed by Bijaya Shrestha
Diagnosis almost certain


Primary infertility

Patient Data

Age: 25
Gender: Female
  • 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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