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Uterus, Mullerian Duct Abnormalities: Multimedia
Updated: Oct 16, 2009
Multimedia
 | Media file 1: Uterus, müllerian duct abnormalities. This was difficult to differentiate as septate or bicornuate uterus using hysterosalpingography. It was a surgically proven case of bicornuate uterus. |
 | Media file 3: Uterus, müllerian duct abnormalities. T-shaped uterus. Classic configuration of the uterine cavity in a typical diethylstilbestrol-exposed uterus (American Fertility Society class VII). Uteri are typically hypoplastic. In this patient, no maternal history of diethylstilbestrol exposure was found. |
 | Media file 4: Uterus, müllerian duct abnormalities. T2 fast spin-echo MRI image of septate uterus acquired in the oblique plane along the long axis of the uterus. Note that the outer fundal contour (superior border) is flat or slightly concave, which is sufficient to make the diagnosis of septate uterus. |
 | Media file 5: Uterus, müllerian duct abnormalities. Septate uterus. Note that a longer septum divides the uterine cavity. Outer fundal contour is flat. |
 | Media file 6: Uterus, müllerian duct abnormalities. MRI image of septate uterus. The patient has a thin, fibrous septum that cannot be resolved distally at the fundus. More importantly, the outer fundal contour remains convex, thus excluding a bicornuate uterus. |
 | Media file 7: Uterus, müllerian duct abnormalities. Bicornuate uterus. The midline uterine external fundal cleft (superior border) has a depression greater than 1 cm, excluding septate uterus from the differential diagnosis. This image is of bicornuate bicollis, since 2 cervices are present. Bicornuate uterus is distinguished from didelphys uterus because some degree of fusion has occurred between the lower uterine segments (ie, they are fused, although the cavities are not communicating). |
 | Media file 8: Uterus, müllerian duct abnormalities. Didelphys uterus. Complete separation and full development of both müllerian ducts is noted. (a) Two vaginas and 2 cervices; (b) 2 distinct cervices; (c) 2 uterine horns are widely splayed; (d) cross section of uterine bodies and cervices. |
 | Media file 9: Uterus, müllerian duct abnormalities. Unicornuate uterus. Patient has full development of a single uterine horn and a normal-appearing cervix. This anomaly was one of many in this patient with Goldenhar syndrome. |
 | Media file 10: Uterus, müllerian duct abnormalities. Normal uterus. Note a single uterine cavity and flat or convex outer fundal contour. |
 | Media file 11: Uterus, müllerian duct abnormalities. Septate uterus. Midline septum can be of variable length and can be muscular or fibrous. In the diagram, the septum is shown as an extension of the uterine myometrium. |
 | Media file 12: Uterus, müllerian duct abnormalities. Septate uterus. The midline septum can extend for a variable length and can be muscular or fibrous. In the diagram, the septum is thin and linear as expected in the fibrous type. Since the composition of the septum varies, whether it is composed of muscle or fibrous tissue is not a means to distinguish septate from other forms of uterine anomalies. |
 | Media file 14: Uterus, müllerian duct abnormalities. Unicornuate uterus. Note the failure of the development of one half of the uterus. This form may be associated with a rudimentary horn arising from the contralateral müllerian duct. |
 | Media file 15: Uterus, müllerian duct abnormalities. Didelphys uterus. Note the complete separation but full development of each müllerian duct. |
 | Media file 16: Uterus, müllerian duct abnormalities. Arcuate uterus. Mild thickening of the midline fundal myometrium resulting in fundal cavity indentation but normal outer fundal contour. Some authors consider it a normal variant. It is not associated with an increased risk of obstetric/gynecologic complications. |
 | Media file 17: Uterus, müllerian duct abnormalities. Diethylstilbestrol-exposed uterus. Myometrial hypertrophy results in a T-shaped uterine cavity and cavity irregularity, which is pathognomonic for the anomaly. Typically, the uteri are hypoplastic. |
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| Imaging: Uterus, Mullerian Duct Abnormalities |
 Multimedia: Uterus, Mullerian Duct Abnormalities |
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Further Reading
Related eMedicine topics
Mullerian Duct Anomalies
Malposition of the Uterus
Surgical Management of Mullerian Duct Anomalies
Infertility
Intrauterine Growth Retardation
Keywords
müllerian duct abnormalities of the uterus, uterine, female reproductive tract, müllerian congenital uterine anomalies, müllerian anomalies, müllerian duct anomalies, Mayer-Rokitansky-Kuster-Hauser syndrome, female reproductive tract developmental abnormalities, paramesonephric developmental abnormalities
