Abstract

Report the successful use of gadolinium radiologic contrast for hysterosalpingogram. Case Report Gadolinium radiologic contrast was used in place of the traditional iodinated contrast to perform a hysterosalpingogram (HSG) under fluoroscopy in an outpatient setting in a patient with a severe iodine allergy. The HSG was performed in standard fashion after premedicating the patient with a mild pain reliever and utilizing sterile techinique to inject the contrast. Visualization of a normal uterine cavity and fallopian tubes with bilateral tubal patency was confirmed during the procedure. Radiologic films were created that documented the results. The best visualization of the internal pelvic anatomy was noted during the actual procedure. There was a lighter image noted on the films taken from the use of gadolinium rather than the traditional iodinated contrast. Gadolinium is a safe and useful alternative to iodinated contrast for hysterosalpingography in patients with iodine allergy.

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