Elevated tubal perfusion pressures during selective salpingography are highly suggestive of tubal endometriosis

Vishvanath Karande, V C Karande, Karande VC, Pratt DE, D E Pratt, Donna Pratt, R Rao, Rao R, Ramaa Rao, Balin M, Martin Balin, M Balin, Norbert Gleicher, N Gleicher, Gleicher N
Fertility and Sterility · 1995 · vol. 64(6) , pp. 1070–1073 · doi:10.1016/s0015-0282(16)57962-x · PMID:7589654 · W59728571
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This study found that elevated tubal perfusion pressures during selective salpingography are highly suggestive of tubal endometriosis.

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Abstract

ObjectiveTo investigate the possible etiologies of elevated tubal perfusion pressures.DesignAnalysis of 48 consecutive female patients with infertility who underwent laparoscopy and a gynecoradiological investigation as part of their infertility work-up.SettingAcademically affiliated infertility center.InterventionsA gynecoradiological investigation was performed using a previously reported standardized contrast injection system. Laparoscopy was performed routinely.ResultsPatients who demonstrated by laparoscopy to have endometriosis showed a significantly increased incidence of tubal blockage during initial hysterosalpingography (HSG) (12/26, 46.1%) compared with controls (2/14, 14.3%). Patients with endometriosis also demonstrated significantly more frequently elevated tubal perfusion pressures (22/26; 84.6%) than women without disease (2/14, 14.3%) and significantly higher mean tubal perfusion pressures than women with normal pelvises (576 +/- 264 versus 450 +/- 268 mm Hg).ConclusionTubal blockage during initial HSG and elevated tubal perfusion pressures during selective salpingography are highly suggestive of tubal endometriosis. These data are the first evidence that tubal involvement with endometriosis may be more frequent than previously suspected. They also suggest that the performance of a gynecoradiological investigation, inclusive of selective salpingography, can greatly contribute to a presumptive diagnosis of endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Fallopian Tube Diseases Fallopian Tubes Hysterosalpingography Endometriosis Endometriosis Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tubes Female Humans Infertility, Female Infertility, Female Laparoscopy Perfusion Pressure

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Cited by (12)

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