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Pathology of the Uterine Cavity

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CT Virtual Hysterosalpingography

Abstract

Causes of infertility by uterine factors have a prevalence of a 10 %.

The uterus participates in key processes of the reproductive system that involve the transport of spermatozoids, embryo implantation and fetal nutrition. It is for this reason that congenital uterine anomalies (unicornuate, bicornuate, and septum uterus, etc.) and acquired pathologies (endometrial polyps, intrauterine synechiae and fibroids) can negatively influence fertility.

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References

  1. Hunt JE, Wallach EE. Uterine factors in infertility an overview. Clin Obstet Gynecol. 1974;17:44–64.

    Article  CAS  PubMed  Google Scholar 

  2. Donnez J, Jadoul P. What are the implications of myomas on fertility? A need for a debate? Hum Reprod. 2002;17:1424–30.

    Article  CAS  PubMed  Google Scholar 

  3. 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 

  4. Kunz G, Beil D, Huppert P, et al. Adenomyosis in endometriosis – prevalence and impact on fertility. Evidence from magnetic resonance imaging. Hum Reprod. 2005;20:2309–16.

    Article  CAS  PubMed  Google Scholar 

  5. Matalliotakis IM, Katsikis IK, Panidis DK. Adenomyosis: what is the impact on fertility? Curr Opin Obstet Gynecol. 2005;17:261–4.

    Article  PubMed  Google Scholar 

  6. Lin PC, Bhatnagar KP, Nettleton GS, et al. Female genital anomalies affecting reproduction. Fertil Steril. 2002;78:899–915.

    Article  PubMed  Google Scholar 

  7. Saravelos SH, Cocksedge KA, Li TC. Prevalence and diagnosis of congenital uterine anomalies in women with reproductive failure: a critical appraisal. Hum Reprod Update. 2008;14:415–29.

    Article  PubMed  Google Scholar 

  8. Mendoza Aguilar M, Herrera Flores I, Viramontes Trejo G, et al. Incidencia de patología de útero y anexos diagnosticada por histerosalpingografía en el Hospital General de México. An Radiol Méx. 2009;3:201–9.

    Google Scholar 

  9. 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 

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

    Article  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  12. 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 

  13. American Institute of Ultrasound in Medicine; American College of Radiology; American College of Obstetricians and Gynecologists; Society of Radiologists in Ultrasound. AIUM practice guideline for the performance of sonohysterography. J Ultrasound Med. 2012;31(1):165–72.

    Google Scholar 

  14. Bhaduri M, Khalifa M, Tomlinson G, et al. Sonohysterography: the utility of diagnostic criteria sets. AJR Am J Roentgenol. 2012;198(1):W83–8.

    Article  PubMed  Google Scholar 

  15. 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 

  16. Fujii S, Matsusue E, Kigawa J, et al. Diagnostic accuracy of the apparent diffusion coefficient in differentiating benign from malignant uterine endometrial cavity lesions: initial results. Eur Radiol. 2008;18(2):384–9.

    Article  PubMed  Google Scholar 

  17. Dexeus S, Labastida R, Marqués L. Hysteroscopy in daily gynaecologic practice. Acta Eur Fertil. 1986;17:423–5.

    CAS  PubMed  Google Scholar 

  18. 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 

  19. 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 

  20. Roma A, Ubeda B, Nin Garaizabal P. Hysterosalpingography: how, when, what for? Radiologia. 2007;49(1):5–18.

    Article  CAS  PubMed  Google Scholar 

  21. Elsayes KM, Pandya A, Platt JF, et al. Technique and diagnostic utility of saline infusion sonohysterography. Int J Gynaecol Obstet. 2009;105(1):5–9.

    Article  PubMed  Google Scholar 

  22. Tello R, Tempany CM, Chai J, et al. MR hysterography using axial long TR imaging with threedimensional projections of the uterus. Comput Med Imaging Graph. 1997;21(2):117–23.

    Article  CAS  PubMed  Google Scholar 

  23. 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 

  24. Florio P, Puzzutiello R, Filippeschi M, et al. Lowdose spinal anesthesia with hyperbaric bupivacaine with intrathecal fentanyl for operative hysteroscopy: a case series study. J Minim Invasive Gynecol. 2012;19(1):107–12.

    Article  PubMed  Google Scholar 

  25. Evangelista A, Oliveira MA, Crispi CP, et al. Diagnostic hysteroscopy using liquid distention medium: comparison of pain with warmed saline solution vs room-temperature saline solution. J Minim Invasive Gynecol. 2011;18(1):104–7.

    Article  PubMed  Google Scholar 

  26. Heinonen PK. Intrauterine adhesions-Asherman’s syndrome. Duodecim. 2010;126(21):2486–91.

    PubMed  Google Scholar 

  27. Rathat G, Do Trinh P, Mercier G, et al. Synechia after uterine compression sutures. Fertil Steril. 2011;95(1):405–9.

    Article  PubMed  Google Scholar 

  28. Deans R, Abbott J. Review of intrauterine adhesions. J Minim Invasive Gynecol. 2010;17(5):555–69.

    Article  PubMed  Google Scholar 

  29. Berman JM. Intrauterine adhesions. Semin Reprod Med. 2008;26(4):349–55.

    Article  PubMed  Google Scholar 

  30. Ceccaldi PF, Nguyen T, Mandelbrot L. Unusual synechia at hysterosalpingography: intrauterine fallopian tube after surgical abortion. Fertil Steril. 2011;95(6):2078–9.

    Article  PubMed  Google Scholar 

  31. Yasmin H, Nasir A, Noorani KJ. Hystroscopic management of Ashermans syndrome. J Pak Med Assoc. 2007;57(11):553–5.

    PubMed  Google Scholar 

  32. Carrascosa P, Baronio M, Capuñay C, et al. Multidetector computed tomography virtual hysterosalpingography in the investigation of the uterus and fallopian tubes. Eur J Radiol. 2008;67:531–5.

    Article  PubMed  Google Scholar 

  33. Carrascosa P, Capuñay C, Mariano B, et al. Virtual hysteroscopy by multidetector computed tomography. Abdom Imaging. 2008;33:381–7.

    Article  PubMed  Google Scholar 

  34. Carrascosa P, Capuñay C, Baronio M, et al. 64-Row multidetector CT virtual hysterosalpingography. Abdom Imaging. 2009;34(1):121–33.

    Article  PubMed  Google Scholar 

  35. Carrascosa P, Baronio JM, Borghi M, et al. Histerosalpingoscopía virtual. Una técnica novedosa y no invasiva para diagnosticar patología intrauterina. Reproduccion. 2006;21:19–26.

    Google Scholar 

  36. Baronio M, Carrascosa P, Capuñay C, et al. Diagnostic performance of CT virtual hysteroscopy in 69 consecutive patients. Fertil Steril. 2010;94(Suppl):S77.

    Article  Google Scholar 

  37. Sharma JB, Pushparaj M, Roy KK, et al. Hyster osalpingographic findings in infertile women with genital tuberculosis. Int J Gynaecol Obstet. 2008;101(2):150–5.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  39. 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 

  40. Thomson AJ, Abbott JA, Deans R, et al. The management of intrauterine synechiae. Curr Opin Obstet Gynecol. 2009;21(4):335–41.

    Article  PubMed  Google Scholar 

  41. AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL practice report: practice guidelines for management of intrauterine synechiae. J Minim Invasive Gynecol. 2010;17(1):1–7.

    Article  Google Scholar 

  42. Elbahraoui H, Elmazghi A, Bouziane H, et al. Postmenopausal tuberculous endometritis simulating endometrial cancer: report of a case. Pan Afr Med J. 2012;11:7.

    PubMed Central  PubMed  Google Scholar 

  43. Iovenitti P, Ruggeri G, Tatangelo R, et al. Endometrial tuberculosis: a clinical case. Clin Exp Obstet Gynecol. 2011;38(2):186–7.

    CAS  PubMed  Google Scholar 

  44. Larosa M, Facchini F, Pozzoli G, et al. Endometriosis: aetiopathogenetic basis. Urologia. 2010;77 Suppl 17:1–11.

    PubMed  Google Scholar 

  45. Roma Dalfó A, Ubeda B, Ubeda A, et al. Diagnostic value of hysterosalpingography in the detection of intrauterine abnormalities: a comparison with hysteroscopy. AJR Am J Roentgenol. 2004;183(5):1405–9.

    Article  PubMed  Google Scholar 

  46. López Navarrete JA, Herrera Otero JM, Quiroga Feuchter G, et al. Comparison between hysterosonography and hysterosalpinography in the study of endometrial abnormalities in infertility patients. Ginecol Obstet Mex. 2003;71:277–83.

    PubMed  Google Scholar 

  47. Sindi O, Saleh A, Rouzi AA. Diagnosis of simple endometrial hyperplasia in a woman with polycystic ovary syndrome with use of hysterosalpingography. Fertil Steril. 2002;77(5):1069–70.

    Article  PubMed  Google Scholar 

  48. Golan A, Cohen-Sahar B, Keidar R, et al. Endometrial polyps: symptomatology, menopausal status and malignancy. Gynecol Obstet Invest. 2010;70(2):107–12.

    Article  PubMed  Google Scholar 

  49. Tabrizi AD, Vahedi A, Esmaily HA. Malignant endometrial polyps: report of two cases and review of literature with emphasize on recent advances. J Res Med Sci. 2011;16(4):574–9.

    PubMed Central  PubMed  Google Scholar 

  50. Costa-Paiva L, Godoy Jr CE, Antunes Jr A, et al. Risk of malignancy in endometrial polyps in premenopausal and postmenopausal women according to clinicopathologic characteristics. Menopause. 2011;18(12):1278–82.

    Article  PubMed  Google Scholar 

  51. Growdon WB. Age and postmenopausal bleeding risk factors for malignant changes in endometrial polyps. Menopause. 2011;18(12):1267.

    Article  PubMed  Google Scholar 

  52. Ubeda B, Paraira M, Alert E, et al. Hysterosalpingography: spectrum of normal variants and nonpathological findings. AJR Am J Roentgenol. 2001;177(1):131–5.

    Article  CAS  PubMed  Google Scholar 

  53. Preutthipan S, Linasmita V. A prospective comparative study between hysterosalpingography and hysteroscopy in the detection of intrauterine pathology in patients with infertility. J Obstet Gynaecol Res. 2003;29:33–7.

    Google Scholar 

  54. Pérez-Medina T, Bajo-Arenas J, Salazar F, et al. Endometrial polyps and their implication in the pregnancy rates of patients undergoing inrauterine inseination: a prospective, randomized study. Hum Reprod. 2005;20:1632–5.

    Article  PubMed  Google Scholar 

  55. Bohlman ME, Ensor RE, Sanders RC. Sonographic findings in adenomyosis of the uterus. AJR Am J Roentgenol. 1987;148:756–66.

    Google Scholar 

  56. Reinhold C, Tafazoli F, Mehio A, et al. Uterine adenomyosis: endovaginal US and MR imaging features with histopathologic correlation. Radiographics. 1999;19:S147–60.

    Article  PubMed  Google Scholar 

  57. Juhasz-Böss I, Haggag H, Baum S, et al. Laparoscopic and laparotomic approaches for endometrial cancer treatment: a comprehensive review. Arch Gynecol Obstet. 2012;286(1):167–72.

    Article  PubMed  Google Scholar 

  58. Karimi-Zarchi M, Mousavi AS, Behtash N, et al. Conservative management of young women with endometrial carcinoma or complex atypical hyperplasia: report of three cases and literature review. Eur J Gynaecol Oncol. 2011;32(6):695–8.

    CAS  PubMed  Google Scholar 

  59. Ikeda S, Kato T. A case of pelvic actinomycosis unrelated to an intrauterine device. Jpn J Clin Oncol. 2012;42(3):237–8.

    Article  PubMed  Google Scholar 

  60. Berisavac M, Sparić R, Argirović R, et al. Application of a hormonal intrauterine device causing uterine perforation: a case report. Srp Arh Celok Lek. 2011;139(11–12):815–8.

    Article  PubMed  Google Scholar 

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Carrascosa, P., Capuñay, C., Sueldo, C.E., Baronio, J.M. (2014). Pathology of the Uterine Cavity. In: CT Virtual Hysterosalpingography. Springer, Cham. https://doi.org/10.1007/978-3-319-07560-0_6

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  • DOI: https://doi.org/10.1007/978-3-319-07560-0_6

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