Fallopian tube catheterization

Case contributed by Dr Jasper Muruka

Presentation

Patient with primary infertility. Had HSG done that showed bilateral corneal tubal blockage.

Patient Data

Age: 30
Gender: Female
DSA (angiography)

Initial HSG showed bilateral cordial tubal blockage.

Both tubes were successfully catheterized using a 5Fr catheter and a 0.035 hydrophyllic guide wire. Post procedure HSG showed bilateral free spill with left predominance. 

She later conceived and carried a term pregnancy.

 

Case Discussion

Fallopian tube catheterization for treatment of proximal tubal occlusion is well-established. It involves using a 5 or 7Fr polyethylene catheter and advancing a 0.035 (0.089cm) J guide wire to the uterine cornu. 

Once point of obstruction is passed guide wire is removed and contrast is injected through the catheter followed by flushing with normal saline.

Post recanalization HSG is then done.

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Case information

rID: 52067
Case created: 20th Mar 2017
Last edited: 20th Mar 2017
Inclusion in quiz mode: Excluded

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