Unsuspected early pregnancy at hysterosalpingography

Rate of Detection of Unsuspected Pregnancies After Implementation of Mandatory Point-of-Care Urine Pregnancy Testing Prior to Hysterosalpingography

“…There have been several published case reports and case series of women who underwent HSG and were determined to be pregnant during or immediately after the procedure [15][16][17][18][19]. Follow-up information in many of these cases is limited, but spontaneous abortions were reported in this cohort, although whether the abortions were caused by HSG or coincidental is uncertain.…”

Rare finding in a common procedure: Unsuspected pregnancy during hysterosalpingography

“…There have only been a few published case reports on undiagnosed pregnancy during hysterosalpingography (Cheung et al 2003;Isaacs 1978;Jongen et al 2001;Justesen et al 1986). The potential concerns in such a scenario are radiation risks, the potential risk of miscarriage, side-effects from the contrast medium used in the procedure and the failure by the operator to recognise the appearances, leading to unnecessary investigations that may further compromise the pregnancy.…”

“…The calculated radiation risk during a hysterosalpingography is thought to be not high enough to justify the termination of pregnancy (Jongen et al 2001). In our case, the fetal radiation dose was estimated to be 1.5 mGy (milliGray), which was well below the threshold of 100 mGy for any fetal abnormality.…”

Unsuspected Pregnancies in Hysterosalpingography: Implementation and Review of a Multi-Institutional Pre-Procedural Pregnancy Screening Protocol

“…A limited number of published cases provide insight on the outcomes of pregnancy after HSG; thus, a causal link is yet to be determined. [6][7][8][9][10][11][12][13][14][15][16] Current guidelines do not mandate pre-procedural pregnancy screening in all cases. To avoid conducting an HSG on a pregnant patient, the HSG should be performed between day 7 and 10 of the uterine cycle.…”