Uterus didelphys

Case contributed by Dr Nick Tarasov

Presentation

Presents post cesarean section with known history of anomaly for scar evaluation.

Patient Data

Age: 30
Gender: Female
Modality: MRI

There is uterus didelphys: two independent uterus bodies, cervix  and vaginal vertical septum, well seen on coronal T2 images. A both uterus demonsrates normal zonal anatomy.

There are many follicules in the right ovarian, less in the left. 

Gartner duct cysts are located in the anterolateral wall of the proximal portion of the vagina on the level of the pubic symphysis, showing hypersignal on both T1 and T2 images. 

Well defined on T2 images scar post cesarean section, located at the right uterus, measuring 13x8x8mm (RLxAPxFH), it seems wealthy. 

There is no free fluid, lymphadenopathy. Surrouding visible bones, soft tissues, vessels, rectum and bladder are unremarkable. No diffusion restriction.

 

Case Discussion

There is nice case of class III Müllerian duct anomaly: uterus didelphys, also, with happy end of pregnancy with casarean section and birth healthy child. 

Müllerian duct anomalies (MDAs) are congenital anatomic abnormalities of the female genital tract that arise from nondevelopment or nonfusion of the müllerian ducts or failed resorption of the uterine septum, with a reported incidence of 0.5%–5.0%. MDAs are clinically important because they are associated with an increased incidence of impaired fertility, menstrual disorders, and obstetric complications. MDAs are also associated with an increased incidence of endometriosis and obstructed uterine drainage, which may occur in patients with unicornuate uterus or uterus didelphys (which  is reported to occur in 0.1–0.5% of women).

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Case Information

rID: 39274
Case created: 29th Aug 2015
Last edited: 18th Dec 2016
System: Gynaecology
Inclusion in quiz mode: Included

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