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Radiology, Vol 199, 469-471, Copyright © 1996 by Radiological Society of North America

ARTICLES

Distal fallopian tube occlusion: false diagnosis with hysterosalpingography in cases of tubal diverticula

L Muzii, R Marana and S Mancuso
Department of Obstetrics and Gynecology, Universita Cattolica del Sacro Cuore, Rome, Italy.

PURPOSE: To evaluate the accuracy of hysterosalpingography (HSG) in the diagnosis of distal fallopian tube occlusion in infertile patients who were candidates for laparoscopic surgery. MATERIALS AND METHODS: A retrospective review of charts was performed for 25 patients who were scheduled to undergo laparoscopic surgery. A preoperative diagnosis was made at HSG of bilateral (or unilateral in case of previous contralateral salpingectomy) distal tube occlusion. RESULTS: At laparoscopy, in three patients (12%) who were scheduled for salpingostomy, the diagnosis of distal tube occlusion made at HSG was incorrectly positive; in the three patients, a single tubal diverticulum was present in the distal ampulla in otherwise normal, patent tubes. CONCLUSION: Bilateral tubal diverticula appear to be often misdiagnosed at HSG as distal tube occlusion.


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A. L. Valentini, L. Muzii, R. Marana, G. F. Catalano, F. Felici, C. Destito, and P. Marano
Fallopian Tube Disease: The Cobblestone Pattern as a Radiographic Sign
Radiology, November 1, 2000; 217(2): 521 - 525.
[Abstract] [Full Text]

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 Am. J. Roentgenol.Home page
A. L. Valentini, L. Muzii, R. Marana, G. F. Catalano, V. Summaria, F. Felici, A. Rossetti, and C. Destito
Improvement of Hysterosalpingographic Accuracy in the Diagnosis of Peritubal Adhesions
Am. J. Roentgenol., October 1, 2000; 175(4): 1173 - 1176.
[Abstract] [Full Text] [PDF]


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