Hysterosalpingography

Hysterosalpingography

Hysterosalpingography (HSG) is a radiologic procedure to investigate the shape of the uterine cavity and the shape and patency of the fallopian tubes. It entails the injection of a radio-opaque material into the cervical canal and usually fluoroscopy with image intensification. A normal result shows the filling of the uterine cavity and the bilateral filling of the fallopian tube with the injection material. To demonstrate tubal patency spillage of the material into the peritoneal cavity needs to be observed.

The procedure involves ionizating x-rays and should be done in the preovulatory phase of the cycle; it is contraindicated in pregnancy. It is useful to diagnose uterine malformations, Asherman's syndrome, tubal occlusion and used extensively in the work-up of infertile women. It has been claimed that pregnancy rates are increased in a cycle when an HSG has been performed. Using catheters, an interventional radiologist can open tubes that are proximally occluded.

The test is usually done with radiographic contrast medium (dye) injected into the uterine cavity through the vagina and cervix. If the fallopian tubes are open the contrast medium will fill the tubes and spill out into the abdominal cavity. It can be determined whether the fallopian tubes are open or blocked and whether the blockage is located at the junction of the tube and the uterus (proximal) or whether it is at the end of the fallopian tube (distal).

Complications of the procedure include infection, allergic reactions to the materials used, intravasation of the material, and, if oil-based material is used, embolisation.

For the first HSG Carey used collergol in 1914. Lipiodol was introduced by Sicard and Forestier in 1924 and remained a popular contrast medium for many decades. [Bendick A. J. Present Status of Hysterosalpingography. Journal of the Mount Sinai Hospital, New York, Vol 14, No. 3, page739, 1947.] Later, water-soluble contrast material was generally preferred as it avoided the possible complication of oil embolism.

References

*cite journal
author = Baramki T
title = Hysterosalpingography.
journal = Fertil Steril
volume = 83
issue = 6
pages = 1595–606
year = 2005
pmid = 15950625
doi = 10.1016/j.fertnstert.2004.12.050

See also

* Hydrosalpinx

External links

* [http://www.radiologyinfo.org/content/hysterosalp.htm RadiologyInfo] - The radiology information resource for patients: Hysterosalpingography
*http://www.ashermans.org


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Look at other dictionaries:

  • hysterosalpingography — Radiography of the uterus and fallopian tubes after the injection of radiopaque material. SYN: hysterotubography, uterosalpingography, uterotubography. [hystero + G. salpinx, a trumpet, + grapho, to write] * * * hys·ter·o·sal·pin·gog·ra·phy .sal …   Medical dictionary

  • hysterosalpingography — noun (plural phies) Etymology: hyster + Latin salping , salpinx fallopian tube + English graphy more at salpingitis Date: 1941 examination of the uterus and fallopian tubes by radiography after injection of an opaque medium …   New Collegiate Dictionary

  • hysterosalpingography — noun X ray examination of the uterus and oviducts following injection of a radiopaque substance See Also: hysterosalpingogram …   Wiktionary

  • hysterosalpingography — hys·ter·o·sal·pin·gog·raphy …   English syllables

  • hysterosalpingography — n. X ray imaging of the uterus and Fallopian tubes following injection of water or a soluble contrast medium …   The new mediacal dictionary

  • hysterosalpingography — ˌhistərōˌsalˌpiŋˈgägrəfē noun ( es) Etymology: International Scientific Vocabulary hyster + salping + graphy : examination of the uterus and fallopian tubes by roentgenography after injection of an opaque medium …   Useful english dictionary

  • Гистеросальпингография (Hysterosalpingography) — см. Утеросальпингография. Источник: Медицинский словарь …   Медицинские термины

  • Утеросальпингография (Uterosalpingography), Гистеросальпингография (Hysterosalpingography) — рентгенография полости матки и фаллопиевых труб после предварительного введения в них рентгеноконтрастной жидкости. Источник: Медицинский словарь …   Медицинские термины

  • HSG — HysteroSalpingoGraphy (Medical » Physiology) * High School Graduate (Community » Educational) * High School Graduate (Business » Positions) * High School Graduate (Academic & Science » Academic Degrees) * Hydrologic Soil Group (Academic & Science …   Abbreviations dictionary

  • УТЕРОСАЛЬПИНГОГРАФИЯ, ГИСТЕРОСАЛЬПИНГОГРАФИЯ — (hysterosalpingography) рентгенография полости матки и фаллопиевых труб после предварительного введения в них рентгеноконтрастной жидкости …   Толковый словарь по медицине

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