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 be helpful in diagnosing intra-abdominal or inguinal testes seen in patients with androgen insensitivity syndrome.

Other Imaging Findings

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

Hysterosalpingography

• Hysterosalpingography is an abdominal X-ray imaging technique where contrast medium is 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

• Testicular scan consists of radioisotope scan of whole body using fluorine-18 fludeoxyglucose to identify the exact location of testes.
• Testicular scan can be helpful in diagnosing intra-abdominal or inguinal testes seen in patients with androgen insensitivity syndrome.