Left tubal hydrosalpinx and peritubal loculated spill of contrast medium
Diagnosis certain
Presentation
Primary infertility. History of right fallopian tube surgery.
Patient Data
Age: 35 years
Gender: Female
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The uterine cavity is normal.
Cutoff of contrast material in the isthmic portion of the right fallopian tube with bulbous dilatation of the distal aspect of the opacified portion.
Left-sided fallopian tube with fluid-filled dilatation due to hydrosalpinx.
There is a large loculation of contrast media inferomedial to the left sided fallopian tube following spillage of patent tube related to pelvic peritubal adhesions.
Case Discussion
Hydrosalpinx is a descriptive term that refers to fluid-filled dilatation of the fallopian tube.
Pelvic adhesions are usually diagnosed on HSG by the presence of a loculated spill of contrast medium.
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