Asherman syndrome-HSG 2013

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Asherman syndrome-HSG 2013

Post by Admin on Sun Sep 15, 2013 5:23 am

2013 2013 2013 <div dir="ltr" style="text-align: left;" trbidi="on"><div class="MsoNormal" style="text-align: justify;">A 25 year old lady being investigated for&nbsp; infertility with history of previous D&amp;C. The HSG shows grossly reduced capacity of the uterus with incapability to inject more than 10 cc contrast with no evidence of reflux. In addition it shows multiple mixed opacities with longitudinal radio lucencies interspersed with opacities, along with beaded and tortuous tubular component on the right&nbsp; possibly representing the right tube. The left tube has not been visualized. There is no peritoneal spill. The features suggest adhesions and fibrotic endometrium, representing Asherman syndrome. <b>Case submitted by Dr MGK Murthy, Dr Srujana &amp; Mr Venkat.<o:p></o:p></b></div><div class="MsoNormal" style="text-align: justify;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/-AbqLd3F4UEE/Ugpwnat2uhI/AAAAAAAAFcs/MX9x22pXkME/s1600/asherman+syndrome+HSG1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="276" src="http://2.bp.blogspot.com/-AbqLd3F4UEE/Ugpwnat2uhI/AAAAAAAAFcs/MX9x22pXkME/s320/asherman+syndrome+HSG1.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-uJU93yLDDm0/UgpwsrnAXyI/AAAAAAAAFc0/eoJ7wBQ8Urg/s1600/asherman+syndrome+2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="273" src="http://4.bp.blogspot.com/-uJU93yLDDm0/UgpwsrnAXyI/AAAAAAAAFc0/eoJ7wBQ8Urg/s320/asherman+syndrome+2.jpg" width="320" /></a></div><div class="MsoNormal" style="text-align: justify;"><o:p><br /></o:p></div><div class="MsoNormal" style="text-align: justify;"><b>Teaching points : </b></div><div class="MsoListParagraphCxSpFirst" style="text-align: justify; text-indent: -0.25in;"><!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><!--[endif]-->Also known as Fritsch’s syndrome / uterine synechiae. Occasionally normal longitudinal uterine folds can mimic the findings.</div><div class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -0.25in;"><!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><!--[endif]-->Incapable of contrast injection beyond 10 cc is typical. Usually follows aborted pregnancy with associated D&amp;C. Trauma to the basal layer of endometrium is considered as responsible factor, including after miscarriages. The longer miscarriage stays in the uterus, more is the possibility of adhesions.</div><div class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -0.25in;"><!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><!--[endif]-->Obliterating of the uterine canal is obvious on HSG. Associated with Mullerian anomalies. Infertility is highly possible following development of synechiae.</div><br /><div class="MsoListParagraphCxSpLast" style="text-align: justify; text-indent: -0.25in;"><!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><!--[endif]-->Treatment&nbsp; is usually attempted with adhesiolysis with micro scissors. Electrocautery is usually contraindicated.&nbsp;&nbsp;</div></div><div class="blogger-post-footer">From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com</div><br> 2013 2013 2013 <br><div dir="ltr" style="text-align: left;" trbidi="on"><div class="MsoNormal" style="text-align: justify;">A 25 year old lady being investigated for&nbsp; infertility with history of previous D&amp;C. The HSG shows grossly reduced capacity of the uterus with incapability to inject more than 10 cc contrast with no evidence of reflux. In addition it shows multiple mixed opacities with longitudinal radio lucencies interspersed with opacities, along with beaded and tortuous tubular component on the right&nbsp; possibly representing the right tube. The left tube has not been visualized. There is no peritoneal spill. The features suggest adhesions and fibrotic endometrium, representing Asherman syndrome. <b>Case submitted by Dr MGK Murthy, Dr Srujana &amp; Mr Venkat.<o:p></o:p></b></div><div class="MsoNormal" style="text-align: justify;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/-AbqLd3F4UEE/Ugpwnat2uhI/AAAAAAAAFcs/MX9x22pXkME/s1600/asherman+syndrome+HSG1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="276" src="http://2.bp.blogspot.com/-AbqLd3F4UEE/Ugpwnat2uhI/AAAAAAAAFcs/MX9x22pXkME/s320/asherman+syndrome+HSG1.jpg" width="320" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-uJU93yLDDm0/UgpwsrnAXyI/AAAAAAAAFc0/eoJ7wBQ8Urg/s1600/asherman+syndrome+2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="273" src="http://4.bp.blogspot.com/-uJU93yLDDm0/UgpwsrnAXyI/AAAAAAAAFc0/eoJ7wBQ8Urg/s320/asherman+syndrome+2.jpg" width="320" /></a></div><div class="MsoNormal" style="text-align: justify;"><o:p><br /></o:p></div><div class="MsoNormal" style="text-align: justify;"><b>Teaching points : </b></div><div class="MsoListParagraphCxSpFirst" style="text-align: justify; text-indent: -0.25in;"><!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><!--[endif]-->Also known as Fritsch’s syndrome / uterine synechiae. Occasionally normal longitudinal uterine folds can mimic the findings.</div><div class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -0.25in;"><!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><!--[endif]-->Incapable of contrast injection beyond 10 cc is typical. Usually follows aborted pregnancy with associated D&amp;C. Trauma to the basal layer of endometrium is considered as responsible factor, including after miscarriages. The longer miscarriage stays in the uterus, more is the possibility of adhesions.</div><div class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -0.25in;"><!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><!--[endif]-->Obliterating of the uterine canal is obvious on HSG. Associated with Mullerian anomalies. Infertility is highly possible following development of synechiae.</div><br /><div class="MsoListParagraphCxSpLast" style="text-align: justify; text-indent: -0.25in;"><!--[if !supportLists]--><span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><!--[endif]-->Treatment&nbsp; is usually attempted with adhesiolysis with micro scissors. Electrocautery is usually contraindicated.&nbsp;&nbsp;</div></div><div class="blogger-post-footer">From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com</div><br>2013 2013 2013 <br> <a href="http://www.matrixar.com/" title="Matrix ">المصفوفة : أجمل الخلفيات والصور</a>

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