Hysterosalpingography

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Hysterosalpingography

  1. 1. University of SulaimaniFaculty of Medical Sciences School of Medicine
  2. 2. Infertility (tubal patency , Asherman′s syndrome).congenital uterine anomalies.Recurrent miscarriage.Abnormal uterine bleeding.Diagnosis of uterine mass (fibroids).Evaluation following pelvic trauma.
  3. 3. Pain (because of dilatation of uterus , spillage into peritonium).Bleeding.Intravasation(secreted by kidney causing obscure fallopiantube)Vasovagal episode.Infection (pelvic).Pregnancy irradiation.Allergic reaction (to iodinated contrast media).Failure.
  4. 4. Pregnancy.Bleeding.Immediate premenstrual or postmenstrual phase.Recent untreated pelvic infection.Tubal or uterine surgery within last 6 weeks.Contrast medium sensitivity.
  5. 5. Volsellum Higar dilator Speculum Screw cannula Contrast mediaTiming : should be performed within 10th-14th day of cycle .
  6. 6. 1-Long thin tubal outline. 2-ill defined peritoneal spillage. 3-Anteverted triangular uterus, Normal size : 2.5 – 5 cm. 1 3 2 Diagnosis: normal film. Description: small uterus (nulliparous)
  7. 7. 1-Long thin tubal outline. 2-ill defined peritoneal spillage. 3-Anteverted triangular uterus. 1 3 2 Diagnosis: normal film. Description: large uterus (multiparous)
  8. 8.  Diagnosis: amenorrhoea due to adhesion. Description: uterus is smaller than normal
  9. 9.  Diagnosis: infantile uterus. Description: uterus is smaller than normal.
  10. 10.  Diagnosis: normal film. Description: very large uterus.
  11. 11.  Diagnosis: retroverted uterus. Description: deviation from medline.
  12. 12.  Diagnosis: retroverted uterus. Description: deviation from medline.
  13. 13.  Diagnosis: arcuate uterus. Description: partial separation (forming right angle).
  14. 14.  Diagnosis: arcuate uterus. Description: partial separation (forming right angle).
  15. 15.  Diagnosis: unicornuate uterus. Description: one cornua , one tube , one spillage.
  16. 16.  Diagnosis: unicornuate uterus. Description: one cornua , one tube , one spillage.
  17. 17.  Diagnosis: bicornuate uterus. Description: complete separation (forming open angle).
  18. 18.  Diagnosis: bicornuate uterus. Description: complete separation (forming open angle).
  19. 19.  Diagnosis: bicornuate uterus. Description: complete separation (forming open angle).
  20. 20.  Diagnosis: bicornuate uterus. Description: large right side containing fetus (miscarriage).
  21. 21.  Diagnosis: complete didelphys uterus. Description: two cervix , two uterus (look for two cannula!)
  22. 22.  Diagnosis: septate uterus. Description: slight separation (forming acute angle).
  23. 23.  Diagnosis: septate uterus. Description: slight separation (forming acute angle).
  24. 24.  Diagnosis: septate uterus. Description: slight separation (forming acute angle).
  25. 25.  Diagnosis: bicornuate uterus with filling defects. Description: differential diagnosis: fibroids , air bubbles , bowel gas.
  26. 26.  Diagnosis: bicornuate uterus with filling defects. Description: differential diagnosis: fibroids , air bubbles , bowel gas.
  27. 27.  Diagnosis: bilateral hydrosalpinges with patent fallopian tube. Description: dilatation of tubes.
  28. 28.  Diagnosis: bilateral hydrosalpinges with patent fallopian tube. Description: saccular dilatation of tubes.
  29. 29.  Diagnosis: uterine fibroid. Description: large, Irregular outline uterus with filling defect.
  30. 30.  Diagnosis: uterine fibroid. Description: large, Irregular outline uterus with multiple filling defects.
  31. 31.  Diagnosis: Hydrosalpinx. Description: take different size and shape of dilatation (sacculation).
  32. 32.  Diagnosis: uterine fibroids. Description: constant filling defect (immobile).
  33. 33.  Diagnosis: uterine fibroids. Description: constant filling defect (immobile).
  34. 34.  Diagnosis: uterine fibroids. Description: constant filling defects (immobile).
  35. 35.  Diagnosis: adenomyosis. Description: irregular outline, multiple diverticulum..
  36. 36.  Diagnosis: small narrow uterus. Description: differential diagnosis : Asherman ,DC, TB uterus.
  37. 37.  Diagnosis: small narrow uterus. Description: differential diagnosis : Asherman ,DC, TB uterus.
  38. 38.  Diagnosis: small narrow uterus. Description: differential diagnosis : Asherman , DC,TB uterus.
  39. 39.  Diagnosis: fallopian tube ligation. Description: absent uterine tube at both sides.
  40. 40.  Diagnosis: intravasation of contrast. Description: contrast intered ureter.
  41. 41.  Diagnosis: intravasation of contrast. Description: contrast intered ureter.
  42. 42.  Diagnosis: intravasation of contrast. Description: contrast intered ureter.
  43. 43. Body Head Diagnosis: cephalic presentation. Description: plain x-ray taken for pregnant lady( for lie , presentation)
  44. 44. Head Body Diagnosis: breech presentation. Description: plain x-ray taken for pregnant lady( for lie , presentation)
  45. 45.  Diagnosis: Dermoid. Description: tooth inside uterus.
  46. 46.  Diagnosis: IUCD. Description: copper IUCD inside uterus.
  47. 47.  Diagnosis: IUCD. Description: copper IUCD outside uterus (missed).
  48. 48.  Diagnosis: uterine fibroid. Description: calcification inside uterus.
  49. 49.  Diagnosis: uterine fibroid. Description: calcification inside uterus.

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