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

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

Add Comment 0 Comments

In Press

12 Feb 2024 : Case report  Germany

Diagnostic Challenges and Imaging Considerations for Intraparotid Facial Nerve Schwannoma: A Case Report an...

Am J Case Rep In Press; DOI: 10.12659/AJCR.942870  

0:00

12 Feb 2024 : Case report  USA

Erdheim-Chester Disease Occult on Radiographs and CT but Visible on MRI and PET

Am J Case Rep In Press; DOI: 10.12659/AJCR.941169  

0:00

12 Feb 2024 : Case report  USA

Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.942839  

13 Feb 2024 : Case report  Bahrain

Warfarin Woes: A Rare Case of Hemoperitoneum with Intramural Small Bowel Hematoma

Am J Case Rep In Press; DOI: 10.12659/AJCR.943519  

Most Viewed Current Articles

10 Jan 2022 : Case report  Germany

A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...

DOI :10.12659/AJCR.935263

Am J Case Rep 2022; 23:e935263

19 Jul 2022 : Case report  Saudi Arabia

Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19

DOI :10.12659/AJCR.936128

Am J Case Rep 2022; 23:e936128

05 Mar 2022 : Case report  Brazil

Acute Limb Ischemia After Self-Injection of Crushed Morphine Tablets into the Radial Artery: Role of Infrar...

DOI :10.12659/AJCR.935336

Am J Case Rep 2022; 23:e935336

02 Apr 2022 : Case report  Saudi Arabia

Infective Endocarditis Caused by Pseudomonas luteola in a Pediatric Patient. A Case Report and Review of Li...

DOI :10.12659/AJCR.935743

Am J Case Rep 2022; 23:e935743

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