Bicornuate/septate uterus

Case contributed by Dr Marzia Muhammadi

Presentation

A female presented with infertility.

Patient Data

Gender: Female
Fluoroscopy

First image shows the reference or scout image. 

Second image shows opacification of two diverging endometrial cavities with two separate cervices with spillage of contrast into the peritoneal cavity through both horns. 

Third image shows evidence of retained contrast within peritoneal cavity in delay image (25 minutes).

Case Discussion

Any disruption of Müllerian duct development can result in a broad spectrum of congenital abnormalities called Müllerian duct anomalies (MDAs)

Diagnosis of MDAs is clinically important because of the high associated risk of infertility, endometriosis, and miscarriage. MDAs are also commonly associated with renal anomalies. 

Hysterosalpingography (HSG) is used in an initial evaluation of infertility; it allows assessment of the uterine cavity and fallopian tube patency but is deficient in providing any information about the external uterine contour. Currently, however, MR imaging remains the preferred MDA imaging method, as it exquisitely details both the uterine cavity and external contours and has shown excellent agreement with clinical MDA subtype diagnosis

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Case information

rID: 59888
Published: 28th Apr 2018
Last edited: 16th Jul 2018
System: Gynaecology
Inclusion in quiz mode: Included
Institution: French Medical Institute for Mothers and Children

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