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Uterus didelphys

Case contributed by Dr Ammar Haouimi

Presentation

Pelvic pain.

Patient Data

Age: 40 years
Gender: Female
MRI

Pelvis

The MRI sequences demonstrate two separated, divergent uterine horns (angle formed by the uterine cavities=100° in this case) with a fundal cleft equal to 4.2 cm. Both, endometrial cavities and cervices are uniformly separate, indicating a uterus didelphys

The right hemiuterus shows a focal thickening of the endometrium-myometrium junctional zone at anterior fundal region (16 mm), in keeping with focal adenomyosis.

The left hemiuterus shows three intramural leiomyomas, the largest measures (4.5x3.8x3.5 cm).

Both ovaries show normal appearance with minimal effusion in the Douglas pouch.

Ultrasound

Abdomen

On abdominal ultrasound both kidneys are of normal size and location. 

Case Discussion

MRI features of a uterus didelphys (Müllerian duct anomaly class III) with focal adenomyosis of the right hemiuterus and leiomyomas of the left hemiuterus.

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Case information

rID: 72625
Published: 3rd Dec 2019
Last edited: 4th Dec 2019
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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