Presentation
Workup for infertility.
Patient Data
Age: 35 years
Gender: Female
From the case:
Bicornuate vs septate uterus (hysterosalpingogram)
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The endometrial cavity is divided, suggestive of a bicornuate uterus or a septate uterus.
The angle between the uterine horns is obtuse (118°).
Bilateral proximal tubal occlusion.
No spillage is noted bilaterally.
Case Discussion
Hysterosalpingogram accuracy in differentiation between septate uterus vs bicornuate uterus 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.