Venous intravasation (hysterosalpingogram)

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Primary infertility.

Patient Data

Age: 35 years
Gender: Female

Normal uterine shape.

The injected contrast spills freely out from the ends of the fallopian tubes. No filling defects. 

Venous intravasation is noted.

Case Discussion

Venous intravasation during hysterosalpingogram occurs due to increased intrauterine pressure during injection or secondary to tubal block. It is seen as opacification of myometrial vessels.

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