CHORUS
Collaborative Hypertext of Radiology
Female genital tract
About CHORUS
Disclaimer
Copyright
|
hysterosalpingogram: Kidde technique
instruments
- single-toothed tenaculum: maintain
seal and provide traction
- acorn tip
- Kidde cannula
contrast
- Sinografin (meglumine diatrizoate/iodipamide)
- Renografin (meglumine iothol diatrizoate)
both water soluble
- advantages:
- quicker filling
- better visualization
- absorbed rapidly from peritoneum
- no vasc embol of particulates
- no local inflamm rxn
- disadvantage: increased pain with rapid distention
technical problems
- contrast instilled too quickly hides subtle abnormality:
- small polyp
- small leiomyoma
- synechiae
- leak around os due to patulous or stenotic cervix
- bicornuate or septate uterus (use shorter tip)
- lack of tubal filling: nonspecific finding
- may be technique, cornual spasm, mucous plug
- reinject with Glucagon 1mg
positive findings
- peritoneal spillage if rugal fold of ampulla seen
- contrast may loculate in peri-fimbrial adhesion
Ruth Carlos, MD - 10 January 1996
Last updated: 1 October 2013
Copyright © 2013, Charles E. Kahn, Jr.
|