Venous intravasation: a potential pitfall of confirmatory hysterosalpingogram following essure hysteroscopic sterilization

Chang, M.C.; Shim, J.J.

Journal of Radiology Case Reports 6(9): 18-22

2012


ISSN/ISBN: 1943-0922
PMID: 23378884
DOI: 10.3941/jrcr.v6i9.1106
Document Number: 574096
Indications for hysterosalpingography (HSG) include evaluation of infertility, spontaneous abortions, postoperative evaluation of tubal ligation, pre-myomectomy evaluation, and more recently, evaluation of tubal occlusion after placement of the Essure Permanent Birth Control System. Here we report a case of venous intravasation during a routine post-Essure HSG, a phenomenon in which contrast transits from the uterine cavity, through the myometrium, and directly into draining pelvic veins. Venous intravasation is a potential pitfall in interpretation of HSGs.

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