زبون جديد
15/07/2023 18:22
المرجو المساعدة في قراءة اشعة الصبغة للرحم
:HYSTEROSALPINGOGRAPHIC (HSG): 15-JUL-2023
A 31-years- old lady. Referred by her Clinical History:
physician for primary infertility. H/O two CS
No pregnancy, active pelvic inflammatory disease or
bleeding at the examination time
No allergy to iodine-based contrast
The procedure done two days after the end of the last
•period, as per patient's questionnaire
:Technique
Scout film of the pelvis (AP view) first obtained
Using aseptic technique, disposable HG cannula was inserted into the cervical canal after sounding the uterus;
15-20 ml of Omnipague was injected slowly into the uterine cavity. The procedure was performed and interpreted by
myself
:Findings
:Scout film
.Unremarkable visualized bone
.No evidence of abnormal calcification or soft tissue opacitv
:HSG examination findings
Immediate smearing divided endometrial cavity with
.bicornuate versus septate configuration
Immediate pacification of the both fallopian tubes with normal caliber, and immediate spillage of the contrast
.medium into the pelvic cavity was noted
:Postcontrast view
Mild loculation of the spilled contrast findings suggestive of
.suggestive of adhesion
:Conclusion
•Bicornuate uterine configuration, versus septate
It's difficult to differentiate between bicornuate and septate uterus on the basis of HSG images alone and further 3D TVS/
MRI is recommended
Patent both tubes with immediate spill of contrast
.Questionable pelvic adhesions