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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Free Spillage Into The Peritoneal Cavity On HSG Report Mean?

To whom it may concern. What does it mean when an HSG states that there is free spillage into the peritoneal cavity? I really don t understand what this means. I asked a doctor and the doctor says that there was some form of fluid found in the uterine area that was not supposed to be there? Is this true. I really need a second opinion.
Wed, 12 Oct 2016
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Radiologist, Interventional ,  's  Response
This is a normal finding. There's nothing to worry about.

When the doctor performs HSG, he injects dye (contrast material) into your uterus, so he can asses its cavity, and patency of the tubes.

When the tubes are patent, the dye spills freely within the peritoneal cavity.

If the tubes were obstructed, there won't be spill at all. If there was peritoneal adhesions as a result of pelvic inflammation, there will be "loculations" of the spilled dye.

So the free spillage is a completely normal examination.

The spilled dye is then absorbed and excreted from the body.

Hope this answered your concerns.
Thank you for choosing HCM.
Regards.
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What Does Free Spillage Into The Peritoneal Cavity On HSG Report Mean?

This is a normal finding. There s nothing to worry about. When the doctor performs HSG, he injects dye (contrast material) into your uterus, so he can asses its cavity, and patency of the tubes. When the tubes are patent, the dye spills freely within the peritoneal cavity. If the tubes were obstructed, there won t be spill at all. If there was peritoneal adhesions as a result of pelvic inflammation, there will be loculations of the spilled dye. So the free spillage is a completely normal examination. The spilled dye is then absorbed and excreted from the body. Hope this answered your concerns. Thank you for choosing HCM. Regards.