Presentation
Workup for infertility.
Patient Data
Age: 35 years
Gender: Female
From the case:
Bicornuate uterus
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A divided uterus is seen.
Normal spillage is noted bilaterally.
Case Discussion
Hysterosalpingogram accuracy in differentiation between uterus septate vs uterus bicornuate is only 55%. The angle between the uterine horns less than 75° is suggestive of a septate uterus while an angle of more than 105° is more suggestive of a bicornuate uterus. This differentiation is critical because the bicornuate uterus does not pose fertility-related issues. In this case on ultrasound evaluation (not shown), a bicornuate uterus was confirmed. It can be classified as a class IV Mullerian duct anomaly.