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. 2012 Jan 1;2012(1):8.
doi: 10.1093/jscr/2012.1.8.

Endometrial appearance in the presence of communicating hydrosalpinx

Rj Heitmann  1 , Ro Burney  1
Affiliations

Endometrial appearance in the presence of communicating hydrosalpinx

Rj Heitmann et al. J Surg Case Rep. .

Abstract

We report the hysteroscopic findings in a 22 year old nulligravid patient with bilateral communicating hydrosalpinges. The inflamed hyperemic endometrial cavity encountered preoperatively normalized at second look hysteroscopy six months after bilateral tubal interruption. The patient underwent successful IVF with culmination in a singleton, live birth. We propose that an inflamed appearance at hysteroscopy, done for endometrial cavity screening, should prompt a dedicated study to rule out hydrosalpinx prior to proceeding with IVF treatment. To date, such a hysteroscopic endometrial phenotype in the presence of hydrosalpinx has not been well characterized.

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Figures

Fig. 1
Fig. 1
Hysterosalpingogram demonstrating bilateral distal tubal occlusion with hydrosalpinges
Fig. 2
Fig. 2
Hysteroscopic appearance of endometrial cavity immediately pre-salpingectomy (A) and six months after interruption of communication with hydrosalpinges (B). For each series, images from left to right depict right cornual, fundal and left cornual regions, respectively.
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