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Bicornuate uterus (HSG)

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for primary infertility.

Patient Data

Age: 20 years
Gender: Female
Fluoroscopy

A divided uterus with normal spillage of bilateral fallopian tubes.

Case Discussion

It is difficult to differentiate between septate and bicornuate uterus anomalies on hysterosalpingography since the uterine fundal contour is not visible.

In this case, on ultrasound evaluation, a bicornuate uterus was confirmed. It can be classified as a class IV Mullerian duct anomaly.

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