Bicornuate uterus

Case contributed by A.Prof Frank Gaillard

Patient Data

Gender: Female
Modality: CT

Two uterine horns of a bicornuate uterus. 

Case Discussion

Congenital uterine anomalies occur in 0.1 to 3% of women and are due to abnormal development of the paramesonephric ducts. Failure of fusion of these ducts results in division of the uterus into two horns (bicornuate uterus) if there is partial failure of fusion, and complete duplication of the uterus, cervix and vagina (uterine didelphys) if there is total failure of fusion. It is associated with pregnancy complications such as spontaneous abortion, malpresentation and premature labour. Infertility is not usually aproblem with this type of malformation because implantation of the embryo is not impaired. Associated renal tract anomalies are common. The preferred methods of imaging uterine anomalies are ultrasound, hysterosalpingogram or MRI.

Case credit: Dr Donna D'Souza.

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Case Information

rID: 35890
Case created: 24th Apr 2015
Last edited: 6th May 2015
System: Gynaecology
Inclusion in quiz mode: Included

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