Presentation
Recurrent abortions.
Patient Data
Case shows 3-D depictions of diverging cornu, due to a partial septum dividing upper endometrial cavity, with no fundal dip.
Case Discussion
This case shows the utility of 3-D reconstructions in depicting Mullerian anomalies, especially bicornuate/septate/sub-septate uterus. Although the cornual divergence angle was obtuse and the dip was not substantial but not >1 cm convex, the infertility specialist preferred a resection and cavity repair.
Radiologically, this appears more as a partially bicornuate uterus, although hysteroscopically, it was designated as a partial septum. This case certainly falls in a typical radiological dilemma between a partially bicornuate and subseptate as well as arcuate uterus.
As may be clinically understood, a partially bicornuate uterus would have a fundal dip from the external uterine surface. It would require a metroplasty from 'top' and 'septum resection' from the cavity. A subseptate uterus can be managed only by hysteroscopic resection, as in this case. An arcuate uterus would need nothing.
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