RANZCR Long Case Practice Sets! Now available for All-Access Pass Holders just in time for this exam sitting. Good luck! LEARN MORE

Septate uterus

Case contributed by Bahman Rasuli

Presentation

Infertility for 1 year ago. Recurrent miscarriage for the past 5 years ago.

Patient Data

Age: 35 years
Gender: Female
Fluoroscopy

Hysterosalpingogram demonstrating two uterine cavities, which inclines away from each other, making an angle of 52°.

Dilatation of the right fallopian tube without intraperitoneal spillage of the contrast material, a finding that is consistent with a hydrosalpinx. 

Intraperitoneal spillage occurs from the left fallopian tube.

Case Discussion

The patient primarily had a history of recurrent miscarriage, but recently complained of infertility for the past one year.

On HSG, an angle more than 105° between the horns of the endometrial cavity is suggestive of a bicornuate uterus.

An angle of  <75° is more consistent with a septate uterus.

Regarding the clinical and imaging findings, a septate uterus complicated by a right-sided hydrosalpinx is the final diagnosis.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.