Tuesday, 9 February 2016

Uterine anomalies

1) 

There is single endometrial cavity.
It is elongated and banana shaped.
It is deviated to left side.
It has tapered end.
Single cervix is seen.
Single left Fallopian tube is patent.
No contrast spill on right side.

These features indicate Left Unicornuate uterus with patent left fallopain tube.
There is no e/o of a communicating right sided rudimentory horn, however a non-communicating one can be made out on MRI/ 3D USG.

Sono HSG is useful modality in demonstrating uterine anomalies.

These patients are at risk of spontanoeus abortions, preterm delivery, abnormal fetal position and IUGR

Types of Mullerian duct anomalies-