Case Study

Dr Rohina KhalidMCPS trainee

Al NOOR diagnostics

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

HISTORY

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

Now the patient is advised hysterosalpingography to check the patency of tubes

PLAIN FILM

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

CONTRAST INJECTED

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