Presentation
Infertility.
Patient Data
Age: 35 years
Gender: Female
From the case:
Subseptate uterus
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The uterine cavity has septal appearance and the contrast is bilateral spilled into peritoneal space. Between the angle of uterine horns is 50°.
Case Discussion
Accuracy of hysterosalpingogram alone is only 55% for differentiation of septate uterus from the bicornuate uterus. An angle of less than 75° between the uterine horns is suggestive of a septate uterus, and an angle of more than 105° is more consistent with bicornuate uteri.
3D ultrasound of the uterus and MRI are more specific for the diagnosis.