Case Of the Week (COW) 17 August 2014
Answer:
BICORNUATE UTERUS WITH GESTATIONAL SAC IN THE RIGHT HORN
Discussion:
A bicornuate uterus results from an abnormal development of the paramesonephric ducts that results in a uterus divided into two horns from a partial failure of fusion. The uterus is seen as comprising of caudally fused symmetric uterine cavities with some degree of communication between the two cavities Fluoroscopy - hysterosalpinogram (HSG) Difficult to differentiate between septate and bicornuate anomalies due to the outer uterine contour not being visible. MRI - May help confirm anatomy by showing a deep (> 1cm) fundal cleft in the outer uterine contour and an intercornual distance of > 4cm. The uterus demonstrates normal uterine zonal anatomy.
Contributed By:
PROF.S.BABU PETER, DR.BALAN, DR.LATHA.PK
BARNARD INSTITUTE OF RADIOLOGY
Answer:
BICORNUATE UTERUS WITH GESTATIONAL SAC IN THE RIGHT HORN
Discussion:
A bicornuate uterus results from an abnormal development of the paramesonephric ducts that results in a uterus divided into two horns from a partial failure of fusion. The uterus is seen as comprising of caudally fused symmetric uterine cavities with some degree of communication between the two cavities Fluoroscopy - hysterosalpinogram (HSG) Difficult to differentiate between septate and bicornuate anomalies due to the outer uterine contour not being visible. MRI - May help confirm anatomy by showing a deep (> 1cm) fundal cleft in the outer uterine contour and an intercornual distance of > 4cm. The uterus demonstrates normal uterine zonal anatomy.
Contributed By:
PROF.S.BABU PETER, DR.BALAN, DR.LATHA.PK
BARNARD INSTITUTE OF RADIOLOGY