Uterus didelphys

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Infertility.

Patient Data

Age: 35 years
Gender: Female
Fluoroscopy

HSG demonstrates two separate endocervical canals that open into separate fusiform endometrial cavities, with no communication between the two horns. Each endometrial cavity ends in a solitary fallopian tube.

Case Discussion

Features are most consistent with uterus didelphys which is a type of Müllerian duct anomaly (class III) where there is a complete duplication of uterine horns as well as duplication of the cervix, with no communication between them.  

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