Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

06 October 2008

Unsuspected cyesis at hysterosalpingogram with resultant disruption of pregnancy – a case report

Osesogie Usuale Ogbeide

Am J Case Rep 2008; 9:404-407 :: ID: 869420


Background: Hysterosalpingogram is a common radiological examination in the investigation of infertility and sub-fertility in women. The main aim of the examination is to assess the size of the uterine capacity and patency of fallopian tubes, which is demonstrated as free intra-peritoneal spillage of contrast.
Common results of an examination include irregularity of the uterine outline, non-opacification or dilatation of the fallopian tubes, loculated intra-peritoneal spillage of contrast.
Case Report: The case of a 29-year-old nulliparous woman with a diagnosis of primary infertility and booked for hysterosalpingogram as part of the routine work-up is presented. Based on the menstrual history and a negative urinary pregnancy test on the morning of the procedure, the examination was carried out. However, the result showed evidence of intra-uterine cyesis which was confirmed on pelvic ultrasonography. The examination is routinely carried out when the patient is not pregnant, and all available investigations are carried out to prevent irradiation of the unborn fetus. Inadvertent irradiation of an intra-uterine fetus is a rare occurrence and the complications will include abortion as seen in this case report.
Conclusions: Caution must be taken when performing a hysterosalpingogram to prevent the inadvertent exposure of a pregnant uterus. The reliance on the menstrual history and a negative pregnancy test and denial of the sexual intercourse prior to the examination did not help in this case report. The resultant complication is the spontaneous abortion of a precious baby that the couple has been seeking for and for which the procedure was performed.

Keywords: hysterosalpingogram , intra-uterine pregnancy , abortion, Infertility



30 November 2022 : Case report  Gabon

Severe COVID-19 in 2 Kidney Transplant Patients in Gabon

Am J Case Rep In Press; DOI: 10.12659/AJCR.938003  

23 November 2022 : Case report  Grenada

Mepolizumab as a Potential Protective Factor of COVID-19 Mortality: A Case Report of Chronic Bronchitis and...

Am J Case Rep In Press; DOI: 10.12659/AJCR.938450  

In Press

02 Dec 2022 : Case report  Portugal

A 54-Year-Old Woman with Papillary Thyroid Carcinoma Associated with Secondary Amyloid Goiter and Thyroid L...

Am J Case Rep In Press; DOI: 10.12659/AJCR.938156  

02 Dec 2022 : Case report  Saudi Arabia

A 14-Year-Old Saudi Boy with Gynecomastia, Cushing Syndrome, Large-Cell Calcifying Sertoli Cell Tumor of th...

Am J Case Rep In Press; DOI: 10.12659/AJCR.937404  

01 Dec 2022 : Case report  China (mainland)

Ureterolithiasis in Human Immunodeficiency Virus (HIV) Patients Treated with Single-Use Ureteroscope: A Cas...

Am J Case Rep In Press; DOI: 10.12659/AJCR.938608  

01 Dec 2022 : Case report  Saudi Arabia

Ancient Schwannoma: Case Report of an Unusual Entity in an Unusual Oral Location

Am J Case Rep In Press; DOI: 10.12659/AJCR.938335  

Most Viewed Current Articles

13 Jul 2022 : Case report  USA

Whistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound

DOI :10.12659/AJCR.936441

Am J Case Rep 2022; 23:e936441

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

06 Dec 2021 : Case report  Brazil

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

17 Feb 2022 : Case report  Oman

Myocarditis, Pulmonary Hemorrhage, and Extensive Myositis with Rhabdomyolysis 12 Days After First Dose of P...

DOI :10.12659/AJCR.934399

Am J Case Rep 2022; 23:e934399

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923