Surgically occluded fallopian tube failure (hysterosalpingogram)

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

One year ago, the patient underwent surgery due to a ruptured tubal ectopic pregnancy which caused right tubal occlusion. Now referred for infertility workup.

Patient Data

Age: 30 years
Gender: Female

The uterine cavity is normal.

Spillage of contrast material from the distal part of the surgically occluded right fallopian tube suggests surgical failure.

Normal left fallopian tube with free peritoneal spillage is seen.

Case Discussion

A nulliparous woman was referred for an infertility workup. Hysterosalpingogram revealed contrast material spillage from the post-surgical occluded right fallopian tube suggesting incomplete occlusion.

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