Complete septate uterus

Case contributed by Ammar Haouimi
Diagnosis almost certain


Primary infertility.

Patient Data

Age: 30 years
Gender: Female

The uterus is normal in size with two uterine cavities separated by a septum of low signal on T2, extending into endocervical canal. Convex shape of the surface of the fundus with an acute angle between uterine cavities ( 35° in this case).

Bilateral ovarian follicles the largest on the right (2.4 cm). Minimal effusion in Douglas pouch is noted.

Case Discussion

MRI features of a complete septate uterus.

Septate uterus is considered as the commonest uterine anomaly (accounts for ~55% of such anomalies). It is classified as a class V Mullerian duct anomaly and associated with reproductive failure (67%), affecting ~15% of women with recurrent pregnancy loss.

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