Bicornuate uterus

Case contributed by Mansi S
Diagnosis certain


Under evaluation for primary infertility.

Patient Data

Age: 25 years
Gender: Female

Two widely placed endometrial cavities with surrounding myometrium converging at the lower uterine segment. The two endometrial cavities are widely spaced with an angle of approximately 115-130 degrees. There is fundal cleft with distance between both cornua measuring approximately 3.8 cm.

Common cervical cavity is noted without evidence of a cervical septum.

Bilateral ovaries are normal.

Case Discussion

A bicornuate uterus is a class IV Mullerian duct anomaly. MRI helps to confirm the anatomy by showing a deep (>1 cm) fundal cleft in the outer uterine contour and an intercornual distance of >4 cm. The uterus demonstrates normal uterine zonal anatomy

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