MAGNETIC-RESONANCE-IMAGING WITH GADOLINIUM-DIETHYLENETRIAMINE PENTAACETIC ACID IS USEFUL IN ASSESSMENT OF TUBAL PATENCY IN A PATIENT WITH IODINE-INDUCED HYPOTHYROIDISM

A 32-year-old woman presented for evaluation of primary infertility. B ecause she had a history of iodine-induced hypothyroidism, conventiona l hysterosalpingography was contraindicated. Tubal patency was assesse d by magnetic resonance imaging (MRI) after infusion of gadolinium-die thylenetriamine pentaacetic acid (Gd-DTPA). Visualization of the contr ast medium in the peritoneal cavity revealed tubal patency. Our case i ndicates that MRI with gadolinium-diethylenetriamine pentaacetic acid is a safe, simple and easy way to confirm that at least one tube is pa tent when a patient is at risk for hysterosalpingography. To our knowl edge, this is the first report that tubal patency was diagnosed on MRI . (C) 1998 Elsevier Science Inc.