RESUMO
Transvaginal ultrasound is an excellent method for imaging uterine abnormalities. However, evaluation of the uterine cavity is limited. Hysterosonography, an ultrasound technique in which the endometrial cavity is distended with saline, enables the radiologist to reliably distinguish focal from diffuse endometrial pathologic conditions Study Objective: To evaluate its diagnostic value in the evaluation of endometrial abnormalities, and correlating it to the histopathulogical examination to help determine its role in clinical decision making in patients with abnormal uterine bleeding. Prospective randomized study. Settings: El-Shatby Maternity Hospital, and Radiology department, Alexandria Main University Hospital. This study was carried on 30 married women of different age groups complaining of abnormal uterine bleeding. All patients were examined by transvaginal ultrasound, then hysterosonography by saline infusion, to be followed by a surgical intervention D and C, hysteroscopy, or hysterectomy for which the whole uterus or the biopsied lesion was sent for histopathological examination. Sonohysterography is far more superior than transvaginal ultrasound in diagnosing focal and diffuse endometrial lesions, which did match the final histopathological examination in 80% of cases. Hysterosonography has further enhanced the transvaginal examination of the uterine cavity. This can be used for further evaluation of the site, nature, and even reach a final diagnosis of the lesion yet it could not replace the histopathologic diagnosis, however it can help determine the best mode of the treatment, whether medical or surgical