Cervical plicae palmatae

Case contribution: Dr Radhiana Hassan


  • A 30 years old lady
  • Primary infertility for 7 years
  • Menses regular and normal
  • Transvaginal ultrasound was normal
  • Hormonal essay is normal
  • HSG to check tubal patency


Hysterosalpingography findings:

  • Unremarkable preliminary image.
  • Post contrast: Uterus and both Fallopian tubes are demonstrated.
  • The uterine cavity has smooth outline and normal in appearance
  • Non-persistent filling defects within uterine cavity (red arrows) are likely to represent air bubbles.
  • Fine and numerous feathery-like appearances are seen at cervical canal (yellow arrows) in keeping with endocervical plicae palmatae.
  • Both Fallopian tubes are normal and not dilated.
  • Free peritoneal spillage is demonstrated from both Fallopian tubes (white arrows).
  • Impression: Patent bilateral fallopian tubes.

Discussion: Cervical plicae palmatae

  • Cervical plicae palmatae are normal folds seen on the anterior and posterior walls of the cervical canal.
  • Studies report it in 45-50% of women between the ages of 20-50 years. It is most frequently seen in the fourth decade women.
  • They are thought to be a remnant of mullerian duct fusion during fetal development.
  • On HSG it is described as serrated appearance at endocervical region. They are often described as longitudinal ridges or oblique elevation.
  • It can also be identified on ultrasound and MRI imaging.
  • It should not be diagnosed as pathological findings.


Author: radhianahassan