Amenorrhea other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]

Overview

Hysterosalpingography (HSG) may be helpful in the diagnosis of the anatomic defects that can cause amenorrhea. Findings on a hysterosalpingography diagnostic of Asherman syndrome include multiple irregular linear (or lacunar) filling defects showing intrauterine adhesion, inability to distend the endometrial cavity, and totally non-filled uterine mostly in severe cases. Testicular scan can diagnosis the intra-abdominal or inguinal testes in androgen insensitivity syndrome.

Other Imaging Findings

Asherman syndrome, two triangular filling defects showing adhesion bands - Case courtesy of Dr Ivan Pedrollo

Hysterosalpingography

• The procedure is an abdominal X-ray imaging while contrast medium was injected into the uterine cavity through vagina and cervix.

• Hysterosalpingography (HSG) may be helpful in the diagnosis of the anatomic defects that can cause amenorrhea. Findings on a hysterosalpingography diagnostic of Asherman syndrome include:
  • Multiple irregular linear (or lacunar) filling defects showing intrauterine adhesion
  • Inability to distend the endometrial cavity
  • Totally non-filled uterine mostly in severe cases

Testicular scan

• The procedure is consisted of radioisotope scan of whole body using fluorine-18 fludeoxyglucose to find out the exact place of testes.
• It can diagnosis the intra-abdominal or inguinal testes in androgen insensitivity syndrome.

References

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