IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 18, Issue 7 Ser. 8 (July. 2019), PP 49-55 www.iosrjournals.org DOI: 10.9790/0853-1807084955 www.iosrjournals.org 49 | Page Congenital and Acquired Deformities of the Uterine Cavity: A Hysterosalpingographic Study Singh M 1 , Singh S 2 , Rani A 2 , Kumar N 2 1 (Department of Anatomy, Government Medical College, Banda, Uttar Pradesh, India) 2 (Department of Anatomy, King George’s Medical University, Lucknow, Uttar Pradesh, India) Corresponding Author: Singh M Abstract: Introduction: Hysterosalpingography is an old but an important diagnostic procedure in infertile women.It is helpful to locate intrauterine congenital and acquired abnormalities and to evaluate the tubal patency.It is safe, inexpensive,simple and rapid diagnostic test which can reveal the shape of uterine cavity.Therefore the present study was done to see the congenital and acquired deformities of uterus. Material &Methods:The present study was carried out in the Department of Anatomy,Department of Obstetrics and Gynaecology andDepartment of Radiodiagnosis of S.N. Medical College,Agra.Out of 100 cases, 30 cases were of primary sterility, 50 cases of secondary sterility and 20 cases of normal parous women who served as control group. Patients were divided into 3 groups according to their age. The study group comprised of women who complained of inability to conceive after twelve months of normal sexual practice without contraception. Results: In primary sterility group,21 cases were present in age group 20-25 years,6 cases in age group15-20 years and 3 cases in age group 25-30years.Out of these we found 1case ofcongenital hypoplasia,7 cases of bi- cornuate uterus,4 cases ofretroverted uterus,8 cases of lateral deviation of uterus and 10 cases of genital tuberculosis.In secondary sterility group,maximum 26 cases were found in age group 25-30years,15 cases in age group 30-35 years,9 cases in age group 20-25years.Out of these4cases of retroverted uterus,6 cases oflateral deviation,13cases of unilateralcornualblockage,11cases of bilateralcornualblockage,8cases of genital tuberculosis and 2cases each of small adult uterus, acute anteversion, submucusfibroid,Asherman’s syndromewere noted. Keywords: acquired,congenital, deformities, hystero-salpingography, uterus. -------------------------------------------------------------------------------------------------------------------------------------- Date of Submission: 08-07-2019 Date of acceptance: 23-07-2019 --------------------------------------------------------------------------------------------------------------------------------------------------- I. Introduction Uterus is a pyriform shaped,hollow and thickwalled muscular organ located in lesser pelvis between urinary bladder and rectum.It measures about 7.5cmx5.0cmx2.5cm and weighs 30-40gm.The cavity of uterus is slit like in sagittal section and triangular in coronal section. Hysterosalpingography (HSG) accurately outlines the anatomical structure of uterine cavity as well as congenital and acquired distortion of uterus.In 1943,Green Armytage described the technique for hysterosalpingography.It is an important,specific,preliminary outpatient investigation and very helpful to correlate the effect of congenital and acquired deformities on the subsequent reproductive career of an individual[1].So it was relevant to carry out the studyin normal parous women andin patients presenting with primary and secondary sterility.Winfieldet al. (1984) used hexabrix (monoacidic)dimeric iodinated compound as a contrast material on 52 patients[2].Ansari (1977)described a simple method of hysterosalpingography using a Foley’s catheter to inject contrast media and emphasized the importance of diagnostic procedure to evaluate tubal patency and other intrauterine defects[3].Previously, they were using metallic connecting cannula and plain rubber catheter.Contrasts used in HSG wereconray - 420,lipoidal andurograffin. An abormalhysterosalpingogram seen in varying degree of failure of fusion of mullerian duct leads to congenital anomalies as uterus didelphys,uterus bicornisbicollis,bicornuate uterus,septate uterus and some functional and structural abnormalities as uterine synechiae,scar,fistula,genital tuberculosis,fibroma,adenoma,cancer body of uterus, hypotonic and hypertonic uterus,dysfunctional uterine bleeding and molar pregnancy etc. II. Material And Method The present study was carried out in the Department of Anatomy, Department of Obstetrics and Gynaecology and Department of Radiodiagnosis of S.N.Medical College,Agra. The patients for the study were selected from out- patient department of Gynaecology at S.N. Hospital, Agra. This study group comprised of women who complained of inability to conceive after twelve months of normal sexual practice without