Question:
What will be the hysteroscopic finding in the given image?
What will be the hysteroscopic finding in the given image?
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Both tubes are distended at the fimbrial end with no peritoneal spillage.
Updated On: Jun 23, 2026
- Bilateral hydrosalpinx
- Bilateral cornual block
- Normal HSG
- Bicornuate uterus
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The Correct Option is A
Solution and Explanation
Step 1: The image is a hysterosalpingogram (HSG), where radio-opaque dye fills the uterine cavity and outlines both fallopian tubes.
Step 2: Both tubes are seen distended and ballooned at their distal (fimbrial) ends, and there is no peritoneal spillage of dye. This dilated, sausage-shaped distal tube is the classic look of hydrosalpinx caused by a fimbrial block.
Step 3: So the finding is bilateral hydrosalpinx. In a cornual block the dye stops at the uterine horn and the tubes do not fill at all. In a normal HSG the dye flows freely through patent tubes and spills into the peritoneal cavity. A bicornuate uterus shows two separate uterine horns. None of these match the distended fluid-filled tubes seen here.
Ref: DC Dutta's Textbook of Gynecology, 6th Edition, Page 657-659, 661.
Step 2: Both tubes are seen distended and ballooned at their distal (fimbrial) ends, and there is no peritoneal spillage of dye. This dilated, sausage-shaped distal tube is the classic look of hydrosalpinx caused by a fimbrial block.
Step 3: So the finding is bilateral hydrosalpinx. In a cornual block the dye stops at the uterine horn and the tubes do not fill at all. In a normal HSG the dye flows freely through patent tubes and spills into the peritoneal cavity. A bicornuate uterus shows two separate uterine horns. None of these match the distended fluid-filled tubes seen here.
Ref: DC Dutta's Textbook of Gynecology, 6th Edition, Page 657-659, 661.
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