Septate uterus

Case contributed by Bahman Rasuli


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

Patient Data

Age: 35 years
Gender: Female

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.

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