Bicornuate or septate/subseptate uterus

Case contributed by Frank Gaillard

Patient Data

Gender: Female
Fluoroscopy

Two diverging endometrial cavities are seen with increased intercornual distance. However, cervical canal appears to be single, with catheter bulb in cervix.

There is an overlap in appearance of bicornuate uterus and septate/subseptate uterus on HSG, the distinction lies in the shape of the uterine fundus, which is usually not apparent. Ultrasound or MRI should be obtained to differentiate if intervention is planned.

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