Uterine leiomyoma - hysterosalpingogram

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Primary infertility. Chronic pelvic pain and menorrhagia.

Patient Data

Age: 40 years
Gender: Female
Fluoroscopy

Abnormal configuration of the uterine cavity is noted, with elongation of the lower part of the uterine cavity and cervix where its left border is seen splayed over a large soft tissue shadow. 

The injected dye spills freely out from the ends of the fallopian tube. No filling defects. 

Case Discussion

The recent case has a large uterine myoma on US exam (not shown) that originated from the uterine left lateral wall with extension into the lower abdominal cavity.

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