A 35-year old female patient presented with a history of infertility for the last 5-6 years. She has a history of two ectopic pregnancies, one in each fallopian tube, requiring exploratory laparotomy both times. She now has hydrosalpinx in the right tube. The patient is being advised to undergo hysterosalpingography to check the patency of her fallopian tubes. Hysterosalpingography involves injecting radiopaque material into the cervix and using fluoroscopy to view the filling of the uterine cavity and fallopian tubes. It can demonstrate tubal blockage or rupture.

1. Dr Rohina Khalid
MCPS trainee
Al NOOR diagnostics

2.  Patient 35years old female presented in AL-
NOOR Diagnostic on date 6th Feb. 2016 with
h/o infertility for last 5-6 years.
 Patient has h/o ectopic pregnancy in right
tube 5 years back for which she underwent
exploratory laprotamy as well and after 6
months of the procedure she suffered from
hydrosalpinx of the same tube as well

3.  2 years back from now she had another
episode of ectopic pregnancy in left tube and
she underwent the same procedure as
mentioned before

4.  Now the patient is advised
hysterosalpingography to check the patency
of tubes

6.  The rule of thumb is that whenever we
introduce the contrast we should have a plain
film before. The reason is we might miss a
pathology e.g. calcified fibroid uterus or gall
stones

10.  is a radiologic procedure to investigate the shape
of the uterine cavity and the shape and patency
of the fallopian tubes. It entails the injection of a
radio-opaque material into the cervical canal and
usually fluoroscopy with image intensification. A
normal result shows the filling of the uterine
cavity and the bilateral filling of the fallopian
tube with the injection material. To demonstrate
tubal rupture, spillage of the material into
the peritoneal cavity needs to be observed. A
synonym to hysterosalpingography
is uterosalpingography