Subseptate uterus

Case contributed by Karwan T. Khoshnaw
Diagnosis certain

Presentation

Previous history of abortion 2 months ago.

Patient Data

Age: 25 years
Gender: Female
mri

Evidence of a two symmetrically sized uterine cavities separated by a hypointense septum which ending markedly proximal to the endocervical canal, (just involving the upper part of the cavity) with smooth flat external fundal  contour, no fundal cleft and normal uterine zonal anatomy is preserved the findings are consistent with partial septate uterus (subseptate)(class V müllerian duct anomaly).

Case Discussion

A partial septum (subseptate uterus) is a subtype of the septate uterus in which there will be involvement of the endometrial canal but not the cervix. In this case, the main differential diagnosis is an arcuate uterus, which shows the small myometrial indentation in the fundus with normal fundal contour.

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