Histerosalpingografía virtual por TC multidetector de 64 filas: Hallazgos en 2.500 pacientes

objective. to depict typical features of virtual hysterosalpingography (vhsg) in infertile patients. material and methods: 2500 vhsg performed using a 64-row mdct were evaluated. results: cervical abnormalities visualized corresponded to parietal irregularities (21%); thickened folds (9%); polyps (11%); diverticula (5%); cervical strictures (8%), and synechiae (1.5%). at the level of uterine cavity, polyps (44%); submucous myomas (8%); intramural and subserosal fibroids (11%); synechiae (10%); malformations (10%); adenomyosis (4%), and cesarean section scar (3%). unilateral hydrosalpinx (7%) and bilateral hydrosalpinx (2%). tubal obstruction was reported in 6% of cases. the average radiation dose was 0.94 msv. eighty-four percent of the patients reported mild pain or no postoperative discomfort. conclusions: the virtual hysterosalpingography allowed a proper assessment of the internal genital organs, providing useful diagnostic information on infertility and other gynecological disorders. it constitutes a virtually painless, low-dose radiation technique, besides being well tolerated by patients.