Venous Intravasation: A Potential Pitfall of Confirmatory Hysterosalpingogram Following Essure Hysteroscopic Sterilization.

Authors

  • Michael Chang
  • John J Shim

DOI:

https://doi.org/10.3941/jrcr.v6i9.1106

Keywords:

Essure, hysterosalpingogram (HSG), venous intravasation, tubal occlusion

Abstract

Indications for hysterosalpingography (HSG) include evaluation of infertility, spontaneous abortions, postoperative evaluation of tubal ligation, pre-myomectomy evaluation, and more recently, evaluation of tubal occlusion after placement of the Essure Permanent Birth Control System.  Here we report a case of venous intravasation during a routine post-Essure HSG, a phenomenon in which contrast transits from the uterine cavity, through the myometrium, and directly into draining pelvic veins.  Venous intravasation is a potential pitfall in interpretation of HSGs.

Author Biographies

Michael Chang

Department of Radiology

PGY-4 Radiology Resident

John J Shim

Department of Radiology

Chief, Nuclear Medicine

Published

2012-09-25

Issue

Section

Obstetric & Gynecologic Radiology