06 October 2008
Unsuspected cyesis at hysterosalpingogram with resultant disruption of pregnancy – a case report
Osesogie Usuale OgbeideAm J Case Rep 2008; 9:404-407 :: ID: 869420
Abstract
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
SARS-CoV-2/COVID-19
11 August 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936496
09 August 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.937505
29 July 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.937105
08 July 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.937212
In Press
16 Aug 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.937598
16 Aug 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936743
16 Aug 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.936466
16 Aug 2022 : Case report
Am J Case Rep In Press; DOI: 10.12659/AJCR.937063
Most Viewed Current Articles
13 Jul 2022 : Case report
DOI :10.12659/AJCR.936441
Am J Case Rep 2022; 23:e936441
23 Feb 2022 : Case report
DOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250
06 Dec 2021 : Case report
DOI :10.12659/AJCR.934406
Am J Case Rep 2021; 22:e934406
17 Feb 2022 : Case report
DOI :10.12659/AJCR.934399
Am J Case Rep 2022; 23:e934399