Uterus didelphys

Case contributed by Dr Ammar Haouimi

Presentation

Dyspareunia with postcoital bleeding. Had resection of a vaginal septum one month ago.

Patient Data

Age: 30 years
Gender: Female
MRI

The MRI sequences demonstrate two separated, divergent uterine horns (angle=80°) with a fundal cleft (> 1 cm). The endometrial cavities as well as the cervices are uniformly separate in keeping with a uterus didelphys

Both ovaries are moderately enlarged (13 cc for each) with numerous small follicles (>20 for each) which may indicate an associated polycystic ovarian syndrome.

On abdominal ultrasound (not shown), both kidneys were normal in size and location. 

Case Discussion

MRI features of a uterus didelphys (Müllerian duct anomaly class III). 

The vaginal septum for which the patient has been operated is frequently associated with didelphys uterus.

 

Additional contributor: C. Boukaaba, MD

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