Hosting 718 files, 2916 images, and 4 contributors.

 
Random Case

Facet Subluxation
Joseph Junewick, MD FACR
over 7 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Bicornuate Uterus

Case Detail

Anatomy: Genitourinary
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Developmental or Congenital
Created: over 4 years ago
Updated: 11 months ago
Tags: PEDS
Modality/Study Types: MR
Activities:
Adobe32 PDF Imagej32 ImageJA

History

Teenager with hypermenorrhea and abnormal ultrasound.


Case Images


Diagnosis

Bicornuate Uterus

Findings

MR – Axial T2 images show two separate uterine horns (deep septal cleft) converging to form one cervix.

Discussion

Diagnosis of mullein duct anomalies is clinically important because of the high associated risk of infertility, endometriosis, and miscarriage. Mullein anomalies are also commonly associated with renal anomalies (renal agenesis, ectopia, hypoplasia, fusion, malrotation, and duplication), segmentation anomalies of the spine and dysrhaphism, cardiac anomalies, and syndromes (e.g., Klippel-Feil syndrome). Bicornuate uterus results from incomplete fusion of the müllerian ducts. Bicornuate uterus is characterized by the presence of a cleft (>1 cm in depth at MR imaging) in the external contour of the uterine fundus. The cervix may or may not be duplicated (bicornuate unicollis or bicollis). MR and US imaging should be used to identify the presence of a deep fundal cleft. At US, divergent uterine horns and separation of uterine cavities may be optimally seen in the secretory phase of the menstrual cycle due to echogenicity of the endometrium. At MR imaging, both uterine horns have normal zonal anatomy.

Reference

Behr SC, Courtier JL, and Qayyum A. Imaging of Müllerian Duct Anomalies. RadioGraphics (2012); 32:E233–E250.



Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare