This Medical Video: We noticed a blue-line in the endometrial cavity between the tubal
ostiae after injection of methylene blue (to determine tubal
patency). We have seen this “blue-line” even in cases with
normal or unicornuate uterus and/or in cases with patent or occluded
fallopian tubes(Picture 1). So the be...st explanation of this
finding may be the high speed jet or turbulence of dye in the top or
the deepest part of endometrial cavity. We simply postulated that
the zone which holds the methylene blue is the zone where the
flashing dye strikes vertically over there and the dye penatrates
into the endometrial epithelium and glands. We used this line as a
guide that shows midline during operative hysteroscopy ( especially
in cases with septate uterus) and we don’t ecxatly know reason why
it occurs. It is necessary to perform histologic, molecular or
clinical studies on this subject. It may have a multifactorial
aetiology. We performed a prospective case control study and will
publish it soon after when we get the results.