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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Dilation Of The Distal Right Fallopian Tube Mean?

What does dilation of the distal right fallopian tube mean? What does mild venous air and lymphatic intravasation is demonstrated in this region? This is from an hsg. My left tube is not seen at all. Also there is no definite evidence of peritioneal spillage on the right side. It also says that the right demonstrates mild dilation of the tube distally. Could you please help me understand all this?
Mon, 30 Sep 2019
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General Surgeon 's  Response
Hi,

NOted the report of your HSG that is hysterosalpingography report showing no left tube that can be visualized and the distal end of right Fallopian tube is dilated.
The results are very obvious.
Hysterosalpingography is done injecting a dye in the uterus to see whether there is spillage of dye into the peritoneal cavity. IF the spillage is positive and there is no structural defect then one important reason for sterility is ruled out.
SInce your left Fallopian tube is not visualized means there is blockage.
Right Fallopian tube ids dilated means there is block at the distal opening to the side of peritoneal cavity and indicates blockage.
I would advise you the following in such a situation:
Consult your Gynecologist for Diagnostic Laparoscopy and needed procedure, also to find any specific disease like tuberculosis or so.
Specific medical or surgical treatment can be of help in such cases.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Does Dilation Of The Distal Right Fallopian Tube Mean?

Hi, NOted the report of your HSG that is hysterosalpingography report showing no left tube that can be visualized and the distal end of right Fallopian tube is dilated. The results are very obvious. Hysterosalpingography is done injecting a dye in the uterus to see whether there is spillage of dye into the peritoneal cavity. IF the spillage is positive and there is no structural defect then one important reason for sterility is ruled out. SInce your left Fallopian tube is not visualized means there is blockage. Right Fallopian tube ids dilated means there is block at the distal opening to the side of peritoneal cavity and indicates blockage. I would advise you the following in such a situation: Consult your Gynecologist for Diagnostic Laparoscopy and needed procedure, also to find any specific disease like tuberculosis or so. Specific medical or surgical treatment can be of help in such cases. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon