T-shaped uterus

Case contributed by Mohammad Taghi Niknejad
Diagnosis probable

Presentation

Work up for infertility.

Patient Data

Age: 40 years
Gender: Female
Fluoroscopy

The opacified endometrial cavity appears small, with a shortened upper uterine segment, resulting in the T-configuration.

The injected contrast spills freely out from the ends of the fallopian tube.

Case Discussion

A T-shaped uterus refers to a specific radiographic appearance of the endometrial cavity and is classified as a class VII Müllerian duct anomaly. It is the most commonly associated abnormality from in utero DES exposure. However, this appearance can also be seen in adult women with severe estrogen deficiencies, and patients who were taking oral contraceptives for long periods.

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