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
In Press
06 Mar 2024 : Case report
Successful Healing of Periapical Pathology with Partial Pulpotomy in a Mature Permanent Molar: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.942937
12 Mar 2024 : Case report
Successful Treatment of Lithium-Induced Nephrogenic Diabetes Insipidus with Celecoxib: A Promising Therapeu...Am J Case Rep In Press; DOI: 10.12659/AJCR.943244
13 Mar 2024 : Case report
Recurrent Marginal Zone Lymphoma with Bone Marrow Involvement Detected by ¹⁸F-FDG PET/CT and Biopsy: A Diag...Am J Case Rep In Press; DOI: 10.12659/AJCR.943275
13 Mar 2024 : Case report
Unveiling the Temporal Aspect of MRI Tattoo Reactions: A Prospective Evaluation of a Newly-Acquired Tattoo ...Am J Case Rep In Press; DOI: 10.12659/AJCR.943411
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
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
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250