A Hysterosalpingogram was performed for infertility evaluation and revealed the appearance shown here. The diagnosis is?
Correct Answer: Bicornuate uterus
Description: Ans. B. Bicornuate uterusMullerian duct anomalies are an often-treatable cause of infertility. Mullerian duct anomalies are estimated to occur in 0.1-0.5% of women. However, the true prevalence is unknown because the anomalies usually are discovered in patients presenting with infertility. Full-term pregnancies have occurred in patients with forms of bicornuate, septate, or didelphys uteri; therefore, true prevalence may be slightly higher than currently estimated. An association exists between mullerian duct anomalies and renal anomalies such as unilateral agenesis.The bicornuate uterus results from incomplete fusion of the uterovaginal horns at the level of the fundus and accounts for approximately 10% OF mullerian duct anomalies. Patients with a bicornuate uterus and no extrauterine infertility issues usually have little difficulty conceiving. A bicornuate uterus consists of two symmetric cornua that are fused caudally, with communication of the endometrial cavities--most often at the level of the uterine isthmus. The intervening cleft of the complete bicornuate uterus extends to the internal cervical os (bicornuate unicollis), while the cleft of a partial bicornuate configuration is of variable length. A bicornuate bicollis uterus is associated with a duplicated cervix, although a degree of communication is maintained between the two horns. The bicornuate uterus has been reported to have the highest associated prevalence--38%--of cervical incompetence among mullerian duct anomalies.
Category:
Gynaecology & Obstetrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now