Hysterosalpingogram
What is Hysterosalpingogram?
What are the indications for hysterosapingography?
What are the possible imaging abnormalities?
What are the complications?
Take Home Points:
Imaging
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Image 1This image shows an early radiograph from a normal HSG. The white arrowhead is pointing towards the uterus, which is filled with contrast (the dark, radiopaque material), and is normal in shape. The white arrows are pointing towards the right and left fallopian tubes which are both beginning to fill with contrast. |
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Image 2This normal HSG shows normal spillage of contrast material in to the peritoneal cavity of the pelvis, indicating that the fallopian tubes are normal and patent. The white arrows indicate the dark areas of contrast material which form a triangular shape as it flows around bowel loops. |
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Image 3Abnormal HSG showing obstructed left fallopian tube. The white arrowhead is pointing towards the uterus, which has filled with contrast and is normal in shape. The white arrow is pointing towards the right fallopian tube, which has begun to fill with contrast. Note that the left fallopian tube does not fill with contrast, indicating that it is obstructed. |
![]() | Image 4At a later point in time, this image shows contrast spilling from the right fallopian tube into the peritoneum (white arrow). Again, note that the left fallopian tube did not fill with contrast and that there is no spillage on the left side which indicates that the tube is obstructed and is not patent. |
Helpful Links with Additional Imaging:
References:
12.09.13