Uterus didelphys

Case contributed by Ammar Haouimi
Diagnosis certain

Presentation

Incidental finding on ultrasound exam performed for urinary tract infection.

Patient Data

Age: 13 years
Gender: Female
mri

Two separated, divergent uterine horns with a fundal cleft = 26 mm. The endometrial cavities as well as the cervices are uniformly separate in keeping with a uterus didelphys. 

Normal appearance of both ovaries with preserved follicular activities.

Case Discussion

MRI features of a uterus didelphys (Müllerian duct anomaly class III). On abdominal ultrasound (not shown), both kidneys were normal in size and location. 

Uterus didelphys 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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