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 years
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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.