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A 33-year-old female asked:

would ct scan with contrast show abnormalities of the fillopian tubes? like scarring or blockage. this was an abdominal scan.

2 doctor answers3 doctors weighed in
Dr. Gerard Honore
Fertility Medicine 29 years experience
Unlikely: Ct with contrast could show a swollen/dilated tube (hydrosalpinx) and 'might' be helpful for suspecting an abnormal anatomic placement of a tube, but should not be considered reliable for evaluating tubal blockage or presence of adhesion (scar.) the hysterosalpingogram (hsg) is more useful for evaluating tubal blockage, and laparoscopy or laparotomy with tubal perfusion is the gold standard.
Dr. Joseph Accurso
Radiology 29 years experience
No: No, unless the tubes were also significantly dilated. The best way to look at the fallopian tubes and make us they are not blocked is a hysterosalpingogram, aka hsg. A thin catheter is placed through the cervix and contrast placed into the uterus, filling the fallopian tubes and spilling into the abdomen, if everything is normal. Images are taken during the exam with fluoro. See your ob/gyn.

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Last updated Mar 12, 2020

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