Arcuate uterus

Case contributed by Mohammadtaghi Niknejad

Presentation

Work up for primary infertility

Patient Data

Age: 20 years
Gender: Female
Fluoroscopy

Smooth concavity in the uterine fundus instead of the more common straight fundal contour suggesting an arcuate uterus.

Both fallopian tubes are patent and of normal caliber, with distal contrast spillage in the peritoneum.

Case Discussion

The arcuate uterus is the most common and mild form of Mullerian duct anomaly. It can be characterized by US or MRI with a normal external uterine contour and a broad smooth indentation on the fundal segment of the endometrium.

The arcuate uterus typically associated with normal-term gestation.

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