Peritubal adhesions in infertile women: diagnosis with hysterosalpingography

Karasick, Stephen; Goldfarb, Alvin F.

doi:10.2214/ajr.152.4.777

Cited by 35 publications

(18 citation statements)

References 1 publication

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“…Aberrant endometrial implants can be found in many locations outside the uterus, the most frequent sites being the posterior cul-de-sac, ovaries, serosa of the bladder, and the fallopian tubes. When endometriosis involves the fallopian tubes, abnormal findings on HSG are often nonspecific and include tubal dilatation, blockage, convolution, and peritubal loculations [6][7][8][9][10][11][12]. The fallopian tubes may also be displaced secondary to adjacent ovarian endometriosis.…”

Section: Discussionmentioning

confidence: 99%

“…Ampullary dilatation and hydrosalpinx usually indicate tubal or peritubal disease but may result from endometriosis or adhesions due to pelvic inflammatory disease. Tubal convolution is a less reliable sign of peritubal disease and is associated with a 25-33% falsepositive rate in the diagnosis of perifimbrial adhesions [9,10]. Other potential signs of peritubal disease, such as pelvic loculations, are also nonspecific and often unreliable.…”

Section: Discussionmentioning

confidence: 99%

“…Criteria for tubal abnormality included incomplete or absent filling, ampullary dilatation, and tubal convolution (Figs. 1 and 2) [8][9][10][11][12]. Finally, the location and severity of endometriosis relative to the uterine tubes as determined by laparoscopy was correlated with findings on HSG.…”

Section: Methodsmentioning

confidence: 99%

“…Although endometriosis may cause tubal abnormalities seen by hysterosalpingography (HSG), efficacy of radiographic evaluation in this disease is not clear [6][7][8][9][10][11][12]. Therefore, we evaluated the effectiveness of HSG by correlation to laparoscopy in evaluating pelvic endometriosis in 50 women being studied for infertility.…”

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confidence: 99%

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Efficacy of hysterosalpingography in evaluating endometriosis

et al. 1994

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Endometriosis is a common disease in young women being evaluated for infertility. Although endometriosis may cause tubal abnormalities on hysterosalpingography, efficacy of radiographic evaluation in this disease is not clear. We reviewed the radiographic and laparoscopic examinations in 50 women being studied for infertility. Laparoscopy was normal in 15 women and showed endometriosis in 35 patients. Endometriosis was staged at laparoscopy using the classification of the American Fertility Society. Radiographic examinations were reviewed blindly and tubal status noted in each patient. Criteria for tubal abnormality included incomplete or absent filling and ampullary dilatation or convolution. Radiographic efficacy was determined by correlating the tubal appearance to the severity and location of endometriosis. A total of 98 tubes were correlated but only 10 (10%) were felt to be involved by endometriosis based on laparoscopic findings. Radiologic sensitivity was 40% (4 of 10) and specificity was 83% (73 of 88). Positive predictive value was 21% (4 of 19) due to 15 false-positive diagnoses in tubes uninvolved by endometriosis. In conclusion, endometriosis, regardless of its severity, rarely causes radiographic abnormalities on hysterosalpingography because of the location of disease in the pelvis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Efficacy of hysterosalpingography in evaluating endometriosis

et al. 1994

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“…Delayed prone radiographs were also obtained after drainage of the contrast (after 15 minutes) to assess the degree of loculation of contrast. [6] All statistical tests were performed using the computer statistical software package SPSS, version 17 (SPSS Inc, Chicago IL).…”

Section: Methodsmentioning

confidence: 99%

Tubal abnormalities in patients with intrauterine adhesion: Evaluation using hysterosalpingography

2014

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Out of the 92 patients studied, 12 (13.04%) were diagnosed with primary infertility, while the rest of the 80 (86.96%) were referred for secondary infertility. The age range of the patients was between 27 and 42 years, with a mean age of 34.58 ± SD years. The mean infertile period of all the study subjects was 5.78 ± SD years. The prevalence of tubal abnormalities demonstrated in the study was 67.39%. Sixty-six (71.73%) patients presented with minor adhesions, while 26 (28.27%) patients presented with moderate adhesions. Conclusion : The prevalence of tubal abnormalities demonstrated in patients with intrauterine adhesion was 67.39%.

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