作者: Alfredo La Fianza , Camilla Fachinetti , Maria Sole Prevedoni Gorone
DOI: 10.1097/01.JWI.0000159508.18689.84
关键词: Hydrosalpinx 、 Thrombosis 、 Bicornuate uterus 、 Medicine 、 Hysterosalpingography 、 Radiology 、 Contrast medium 、 Intravasation 、 Surgery 、 Salpingectomy 、 Pelvic inflammatory disease
摘要: Abstract The aim of this article is to assess the incidence venous/lymphatic intravasation during hysterosalpingography (HSG), using iodinated non-ionic hydrosoluble contrast media, and consequences that condition involves. We have considered major complications following intravasation; 1395 HSG performed in 9 years at our institute been examined. examination was through application exo-cervical cups or intracavitary Sholkoff catheters, injecting an average 6 mL medium, with iodine concentration 320 370 mg I/mL. digital equipment, under fluoroscopic control. observed 14 patients (1%), 19 cases among them, 11 were venous (5 bilateral, monolateral) 3 lymphatic (monolateral). Seven fourteen presented alterations tubal patency, represented by hydrosalpinx (4 patients, 5 tubes), monolateral occlusion (1 patient, 1 case), bilateral 2 cases), case salpingectomy, Asherman's syndrome, a mullerian malformation as bicornuate uterus case). Two showed concomitance two alterations. 567 uterine/tubal patency did not report lymphatic-venous vessels complications. No patient pulmonary cerebral complications, pelvic thrombosis late inflammatory disease. opacification HSG, does represent complication examination, because it linked This event associated predisposing anatomic conditions, such endometrial-myometrial inflammation.