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Tubal Pathology

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CT Virtual Hysterosalpingography

Abstract

Tubal factor is one of leading causes associated to infertility in women. There exist diverse pathological conditions that affect the Fallopian tubes and, henceforth, interfere with normal transport of the ovule through them. The most frequent process is pelvic inflammatory disease, which represents a wide spectrum that includes salpingitis, piosalpinx and the tube-ovary abscess. Other frequent entities, and some more rare, can compromise the Fallopian tubes. The differential diagnosis with other pelvic entities is of the utmost importance for treating the patients. There exist diverse diagnostic methods that are utilized in the study of uterine tubes. Hysterosalpingography is the modality which has traditionally been used to investigate the tuboperitoneal factor. Ultrasound and Magnetic Resonance Imaging (MRI) present limitations to the direct visualization of tubes. In the last years enhancements in these methods have been developed, like the sono-hysterosalpingography and the MR-hysterosalpingography, but they still have not reached an adequate resolution for the diagnosis of the tubal pathology. Laparoscopy is the method of reference and is reserved for the confirmation of the radiologic findings and for therapeutic procedures.

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References

  1. Carrascosa PM, Capuñay C, Vallejos J, et al. Virtual hysterosalpingography: a new multidetector CT technique for evaluating the female reproductive system. Radiographics. 2010;30(3):643–61.

    Article  PubMed  Google Scholar 

  2. Swart P, Mol BW, van der Veen F, et al. The accuracy of hysterosalpingography in the diagnosis of tubal pathology: a meta-analysis. Fertil Steril. 1995;64(3):486–91.

    CAS  PubMed  Google Scholar 

  3. Benjaminov O, Atri M. Sonography of the abnormal fallopian tube. AJR Am J Roentgenol. 2004;183(3):737–42.

    Article  PubMed  Google Scholar 

  4. Hamed HO, Shahin AY, Elsamman AM. Hysterosalpingo-contrast sonography versus radiographic hysterosalpingography in the evaluation of tubal patency. Int J Gynaecol Obstet. 2009;105(3):215–7.

    Article  PubMed  Google Scholar 

  5. Sankpal RS, Confino E, Matzel A, et al. Investigation of the uterine cavity and fallopian tubes using three-dimensional saline sonohysterosalpingography. Int J Gynaecol Obstet. 2001;73(2):125–9.

    Article  CAS  PubMed  Google Scholar 

  6. Lundberg S, Wramsby H, Bremmer S, et al. Radionuclide hysterosalpingography is not predictive in the diagnosis of infertility. Fertil Steril. 1998;69(2):216–20.

    Article  CAS  PubMed  Google Scholar 

  7. Unterweger M, De Geyter C, Fröhlich JM, et al. Three-dimensional dynamic MR-hysterosalpingography; a new, low invasive, radiation-free and less painful radiological approach to female infertility. Hum Reprod. 2002;17(12):3138–41.

    Article  CAS  PubMed  Google Scholar 

  8. Winter L, Glücker T, Steimann S, et al. Feasibility of dynamic MR-hysterosalpingography for the diagnostic work-up of infertile women. Acta Radiol. 2010;51(6):693–701.

    Article  PubMed  Google Scholar 

  9. Sadowski EA, Ochsner JE, Riherd JM, et al. MR hysterosalpingography with an angiographic time-resolved 3D pulse sequence: assessment of tubal patency. AJR Am J Roentgenol. 2008;191(5):1381–5.

    Article  PubMed  Google Scholar 

  10. Vardhana PA, Silberzweig JE, Guarnaccia M, et al. Hysterosalpingography with selective salpingography. J Reprod Med. 2009;54(3):126–32.

    PubMed  Google Scholar 

  11. Papaioannou S, Bourdrez P, Varma R, et al. Tubal evaluation in the investigation of subfertility: a structured comparison of tests. BJOG. 2004;111(12):1313–21.

    Article  PubMed  Google Scholar 

  12. Chalazonitis A, Tzovara I, Laspas F, et al. Hysterosalpingography: technique and applications. Curr Probl Diagn Radiol. 2009;38(5):199–205.

    Article  PubMed  Google Scholar 

  13. Carrascosa P, Capuñay C, Vallejos J, et al. Virtual hysterosalpingography: experience with over 1000 consecutive patients. Abdom Imaging. 2011;36(1):1–14.

    Article  PubMed  Google Scholar 

  14. Winfield AC, Pittaway D, Maxson W, et al. Apparent cornual occlusion in hysterosalpingography: reversal by glucagon. AJR Am J Roentgenol. 1982;139(3):525–7.

    Article  CAS  PubMed  Google Scholar 

  15. Simpson Jr WL, Beitia LG, Mester J. Hysterosalpingography: a reemerging study. Radiographics. 2006;26(2):419–31.

    Article  PubMed  Google Scholar 

  16. Sam JW, Jacobs JE, Birnbaum BA. Spectrum of CT findings in acute pyogenic pelvic inflammatory disease. Radiographics. 2002;22(6):1327–34.

    Article  PubMed  Google Scholar 

  17. Ott DJ, Fayez JA. Tubal and adnexal abnormalities. In: Ott DJ, Fayez JA, Zagoria RJ, editors. Hysterosalpingography: a text and atlas. 2nd ed. Baltimore: Williams & Wilkins; 1998. p. 90–3.

    Google Scholar 

  18. Woodward PJ, Sohaey R, Mezzetti Jr TP. Endometriosis: radiologic-pathologic correlation. Radiographics. 2001;21(1):193–216.

    Article  CAS  PubMed  Google Scholar 

  19. Karasick S, Goldfarb AF. Peritubal adhesions in infertile women: diagnosis with hysterosalpingography. AJR Am J Roentgenol. 1989;152(4):777–9.

    Article  CAS  PubMed  Google Scholar 

  20. Lee A, Ying YK, Novy MJ. Hysteroscopy, hysterosalpingography and tubal ostial polyps in infertility patients. J Reprod Med. 1997;42(6):337–41.

    CAS  PubMed  Google Scholar 

  21. Kawakami S, Togashi K, Kimura I, et al. Primary malignant tumor of the fallopian tube: appearance at CT and MR imaging. Radiology. 1993;186(2):503–8.

    Article  CAS  PubMed  Google Scholar 

  22. Letterie GS, Haggerty MF, Fellows DW. Sensitivity of hysterosalpingography after tubal surgery. Arch Gynecol Obstet. 1992;251(4):175–80.

    Article  CAS  PubMed  Google Scholar 

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Carrascosa, P., Capuñay, C., Sueldo, C.E., Baronio, J.M. (2014). Tubal Pathology. In: CT Virtual Hysterosalpingography. Springer, Cham. https://doi.org/10.1007/978-3-319-07560-0_9

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  • DOI: https://doi.org/10.1007/978-3-319-07560-0_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-07559-4

  • Online ISBN: 978-3-319-07560-0

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