1. University of Sulaimani
Faculty of Medical Sciences
School of Medicine

2. Infertility (tubal patency , Asherman′s syndrome).
congenital uterine anomalies.
Recurrent miscarriage.
Abnormal uterine bleeding.
Diagnosis of uterine mass (fibroids).
Evaluation following pelvic trauma.

3. Pain (because of dilatation of uterus , spillage into peritonium).
Bleeding.
Intravasation(secreted by kidney causing obscure fallopian
tube)
Vasovagal episode.
Infection (pelvic).
Pregnancy irradiation.
Allergic reaction (to iodinated contrast media).
Failure.

4. Pregnancy.
Bleeding.
Immediate premenstrual or postmenstrual phase.
Recent untreated pelvic infection.
Tubal or uterine surgery within last 6 weeks.
Contrast medium sensitivity.

5. Volsellum Higar dilator
Speculum Screw cannula Contrast media
Timing : should be performed within 10th-14th day of cycle .

6. 1-Long thin tubal outline.
2-ill defined peritoneal spillage.
3-Anteverted triangular uterus,
Normal size : 2.5 – 5 cm.
1
3
2
 Diagnosis: normal film.
 Description: small uterus (nulliparous)

7. 1-Long thin tubal outline.
2-ill defined peritoneal spillage.
3-Anteverted triangular uterus.
1
3
2
 Diagnosis: normal film.
 Description: large uterus (multiparous)

8.  Diagnosis: amenorrhoea due to adhesion.
 Description: uterus is smaller than normal

9.  Diagnosis: infantile uterus.
 Description: uterus is smaller than normal.

10.  Diagnosis: normal film.
 Description: very large uterus.

11.  Diagnosis: retroverted uterus.
 Description: deviation from medline.

12.  Diagnosis: retroverted uterus.
 Description: deviation from medline.

13.  Diagnosis: arcuate uterus.
 Description: partial separation (forming right angle).

14.  Diagnosis: arcuate uterus.
 Description: partial separation (forming right angle).

15.  Diagnosis: unicornuate uterus.
 Description: one cornua , one tube , one spillage.

16.  Diagnosis: unicornuate uterus.
 Description: one cornua , one tube , one spillage.

17.  Diagnosis: bicornuate uterus.
 Description: complete separation (forming open angle).

18.  Diagnosis: bicornuate uterus.
 Description: complete separation (forming open angle).

19.  Diagnosis: bicornuate uterus.
 Description: complete separation (forming open angle).

20.  Diagnosis: bicornuate uterus.
 Description: large right side containing fetus (miscarriage).

21.  Diagnosis: complete didelphys uterus.
 Description: two cervix , two uterus (look for two cannula!)

23.  Diagnosis: septate uterus.
 Description: slight separation (forming acute angle).

24.  Diagnosis: septate uterus.
 Description: slight separation (forming acute angle).

25.  Diagnosis: septate uterus.
 Description: slight separation (forming acute angle).

26.  Diagnosis: bicornuate uterus with filling defects.
 Description: differential diagnosis: fibroids , air bubbles , bowel gas.

27.  Diagnosis: bicornuate uterus with filling defects.
 Description: differential diagnosis: fibroids , air bubbles , bowel gas.

28.  Diagnosis: bilateral hydrosalpinges with patent fallopian tube.
 Description: dilatation of tubes.

29.  Diagnosis: bilateral hydrosalpinges with patent fallopian tube.
 Description: saccular dilatation of tubes.

30.  Diagnosis: uterine fibroid.
 Description: large, Irregular outline uterus with filling defect.

31.  Diagnosis: uterine fibroid.
 Description: large, Irregular outline uterus with multiple filling defects.

32.  Diagnosis: Hydrosalpinx.
 Description: take different size and shape of dilatation (sacculation).

33.  Diagnosis: uterine fibroids.
 Description: constant filling defect (immobile).

34.  Diagnosis: uterine fibroids.
 Description: constant filling defect (immobile).

35.  Diagnosis: uterine fibroids.
 Description: constant filling defects (immobile).

36.  Diagnosis: adenomyosis.
 Description: irregular outline, multiple diverticulum..

37.  Diagnosis: small narrow uterus.
 Description: differential diagnosis : Asherman ,DC, TB uterus.

38.  Diagnosis: small narrow uterus.
 Description: differential diagnosis : Asherman ,DC, TB uterus.

39.  Diagnosis: small narrow uterus.
 Description: differential diagnosis : Asherman , DC,TB uterus.

40.  Diagnosis: fallopian tube ligation.
 Description: absent uterine tube at both sides.

41.  Diagnosis: intravasation of contrast.
 Description: contrast intered ureter.

42.  Diagnosis: intravasation of contrast.
 Description: contrast intered ureter.

43.  Diagnosis: intravasation of contrast.
 Description: contrast intered ureter.

45. Body
Head
 Diagnosis: cephalic presentation.
 Description: plain x-ray taken for pregnant lady( for lie , presentation)

46. Head
Body
 Diagnosis: breech presentation.
 Description: plain x-ray taken for pregnant lady( for lie , presentation)

47.  Diagnosis: Dermoid.
 Description: tooth inside uterus.

48.  Diagnosis: IUCD.
 Description: copper IUCD inside uterus.

49.  Diagnosis: IUCD.
 Description: copper IUCD outside uterus (missed).

50.  Diagnosis: uterine fibroid.
 Description: calcification inside uterus.

51.  Diagnosis: uterine fibroid.
 Description: calcification inside uterus.