Abstract
Hysterosalpingography (HSG) is an integral component of infertility investigation. Certain technical artifacts can lead to misdiagnosis. Intravasation of contrast is seen in 0.4-6.9% cases. Radiologists as well as gynecologists should be aware of this phenomenon as it can potentially be misinterpreted as free intraperitoneal spillage. Venous intravasation was seen during HSG in a 33-year-old woman with primary infertility and initially misdiagnosed. No serious systemic complications were noted. The tubal block was later confirmed on laparoscopy and chromopertubation. A review of literature was performed to identify potential risk factors, for example, tuberculosis, recent endometrial curettage, uterine anomalies, etc. Certain measures such as slow instillation of contrast have also been proposed for prevention of this phenomenon.
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