title: Venous intravasation: a potential pitfall of confirmatory hysterosalpingogram following essure hysteroscopic sterilization.
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.
authors: Department of Radiology, University of Massachusetts Medical School, Worcester, MA 01655, USA. michael.chang@umassmemorial.org
authors: Michael C
authors: MC
authors: Chang
authors: John J
authors: JJ
authors: Shim
mesh_terms: D000328:Adult; D003287:Contrast Media / Q000009:adverse effects*; D003937:Diagnosis, Differential; D003951:Diagnostic Errors / Q000517:prevention & control*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging* / Q000209:etiology*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000009:adverse effects* / Q000379:methods; D020702:Hysteroscopes; D007434:Intrauterine Devices; D010690:Phlebography; D014599:Uterus / Q000098:blood supply
chemical_list: D003287:Contrast Media
keywords: Essure; hysterosalpingogram (HSG); tubal occlusion; venous intravasation
references: AJR Am J Roentgenol. 2001 Jul;177(1):131-5
references: 11418413
references: Radiographics. 2006 Mar-Apr;26(2):419-31
references: 16549607
references: Hum Reprod. 2003 Jun;18(6):1223-30
references: 12773450
references: AJR Am J Roentgenol. 1991 Oct;157(4):675-83
references: 1892018
references: Int J Gynaecol Obstet. 2010 Jan;108(1):79-84
references: 19716128
references: Singapore Med J. 2007 Apr;48(4):368-73; quiz 374
references: 17384889
references: Obstet Gynecol. 2003 Jul;102(1):59-67
references: 12850608