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Year : 2016  |  Volume : 3  |  Issue : 1  |  Page : 36-38

Intravasation of water-soluble contrast agent during hysterosalpingography: A potential pitfall in diagnosis

1 Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Japleen Kaur
Department of Obstetrics and Gynaecology, 3rd Floor, F Block, Nehru Hospital, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2348-2907.183445

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Hysterosalpingography (HSG) is an integral component of infertility investigation. Certain technical artifacts can lead to misdiagnosis. Intravasation of contrast is seen in 0.4-6.9% cases. Radiologists as well as gynecologists should be aware of this phenomenon as it can potentially be misinterpreted as free intraperitoneal spillage. Venous intravasation was seen during HSG in a 33-year-old woman with primary infertility and initially misdiagnosed. No serious systemic complications were noted. The tubal block was later confirmed on laparoscopy and chromopertubation. A review of literature was performed to identify potential risk factors, for example, tuberculosis, recent endometrial curettage, uterine anomalies, etc. Certain measures such as slow instillation of contrast have also been proposed for prevention of this phenomenon.

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