Presentation
History of several episodes of pelvic inflammatory disease. Work up for secondary infertility.
Patient Data
Age: 30 years
Gender: Female
From the case:
Venous intravasation on hysterosalpingogram
{"study":{"id":112157,"case_slug":"venous-intravasation-on-hysterosalpingogram","modality":"Fluoroscopy","series":[{"id":56097646,"content_type":"image/jpeg","frames":[{"id":56097646,"width":1928,"height":1808,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"110001_tiny.jpeg","jumbo":"110001_jumbo.jpeg","small":"110001_small.jpeg","thumb":"110001_thumb.jpeg","medium":"110001_medium.jpeg","gallery":"110001_gallery.jpeg","big_gallery":"110001_big_gallery.jpeg","original":"110001.jpg"}]},"perspective":"Frontal","specifics":null},{"id":56097647,"content_type":"image/jpeg","frames":[{"id":56097647,"width":1904,"height":1500,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"110002_tiny.jpeg","jumbo":"110002_jumbo.jpeg","small":"110002_small.jpeg","thumb":"110002_thumb.jpeg","medium":"110002_medium.jpeg","gallery":"110002_gallery.jpeg","big_gallery":"110002_big_gallery.jpeg","original":"110002.jpg"}]},"perspective":"Frontal","specifics":null},{"id":56097648,"content_type":"image/jpeg","frames":[{"id":56097648,"width":1836,"height":1536,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"110003_tiny.jpeg","jumbo":"110003_jumbo.jpeg","small":"110003_small.jpeg","thumb":"110003_thumb.jpeg","medium":"110003_medium.jpeg","gallery":"110003_gallery.jpeg","big_gallery":"110003_big_gallery.jpeg","original":"110003.jpg"}]},"perspective":"Frontal","specifics":null},{"id":56097650,"content_type":"image/jpeg","frames":[{"id":56097650,"width":2168,"height":1856,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"220001_tiny.jpeg","jumbo":"220001_jumbo.jpeg","small":"220001_small.jpeg","thumb":"220001_thumb.jpeg","medium":"220001_medium.jpeg","gallery":"220001_gallery.jpeg","big_gallery":"220001_big_gallery.jpeg","original":"220001.jpg"}]},"perspective":"Frontal","specifics":null},{"id":56097649,"content_type":"image/jpeg","frames":[{"id":56097649,"width":1936,"height":1556,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"110004_tiny.jpeg","jumbo":"110004_jumbo.jpeg","small":"110004_small.jpeg","thumb":"110004_thumb.jpeg","medium":"110004_medium.jpeg","gallery":"110004_gallery.jpeg","big_gallery":"110004_big_gallery.jpeg","original":"110004.jpg"}]},"perspective":"Frontal","specifics":null}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"dr mt niknejad","case_id":93702,"case_key_image_id":56097649,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Left sided partial tubal occlusion is present, accompanied by intravasation of contrast medium in the uterine wall and pelvis.
The uterine cavity and the right fallopian tube are normal.
Case Discussion
A 30 years old patient with secondary infertility had several episodes of pelvic inflammatory disease, which is the most probable cause of tubal adhesions leading to tubal blockage and infertility.