Bicornuate uterus

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Chronic pelvic pain

Patient Data

Age: 45 years
Gender: Female

Pelvis

mri

Two separate uterine horns are noted with a common cervical canal. The deep fundal cleft was at 1.6 cm and the intercornual distance was at 5.5 cm. The intercornual angle was at 110°. Small intramural leiomyomas are noted.

The left ovary is normal in appearance with small follicles.

Right ovary: past-history of ovariectomy for ovarian torsion according to the patient (surgical report not available).

Minimal effusion is noted in Douglas pouch.

No associated renal anomalies seen on ultrasound (not shown)

Case Discussion

MRI features of a bicornuate unicollis uterus (incidental finding in case this), classified as a class IV Mullerian duct anomaly.

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