Left tubal block and hydrosalpinx

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Secondary infertility.

Patient Data

Age: 30 years
Gender: Female
Fluoroscopy

Left-sided distal fallopian tube block with fluid-filled dilatation of the tube and without peritoneal spillage.

Focal fusiform dilatation at the primary segment of the left fallopian tube is an effective radiographic sign of intraluminal adhesions.

Spillage occurs from the right tube.

There are no filling defects within the uterine cavity and the outline is smooth and regular.

Case Discussion

Hydrosalpinx is a descriptive term and refers to a fluid-filled dilatation of the fallopian tube.

Intraluminal scarring with focal dilatation of the fallopian tube is described as an effective radiographic sign of intraluminal adhesions and subsequent infertility.

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