Partial bicornuate uterus with bilateral tubal block

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain


Work up for primary infertility.

Patient Data

Age: 30 years
Gender: Female

Hysterosalpingography demonstrates two separate fusiform endometrial cavities. Each endometrial cavity ends in a solitary fallopian tube.

In addition, both fallopian tubes are blocked with no evidence of peritoneal spillage of the contrast material.

Case Discussion

Features are most likely compatible with the partial bicornuate uterus, a type of uterine duplication anomaly classified as a class IV Mullerian duct anomaly. A complimentary assessment with pelvic ultrasound or MRI needs to confirm this diagnosis. 

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