Learning objectives
A brief recap of the embryology of female genital tract,
especially uterine origin.
To illustrate with our own cases the main anatomical & MRI findings of uterine anomalies according to the latest ESHRE/ESGE classification system.
Тo review the clinical presentation,
reproductive consequences,
therapy and association with other "non-Mullerian" congenital anomalies.
Background
Congenital malformations of the female genital tract are anatomy deviations of embryological development.
Embryological differentiation of female genitaltract starts in the 5th-6th gestational week with the lack of SRY gene expression,
which provides degeneration of the mesonephric (Wolffian) ducts and formation of the paramesonephric (Mullerian ducts) in female fetus between 8th to 10th gestational week.
Both paramesonephric ducts fuse to form the uterine body meanwhile the intermediate wall (septum) reabsorbs to create the uterine cavity.
The process is finalized by the 20th gestational week.
Defect...
Findings and procedure details
ESHRE/ ESGE classifications system of female genital tract congenital anomalies
The newest classification system of female genital tract congenital anomalies is formed by the European Society of Human Reproduction and Embryology (ESHRE) and the European Society for Gynaecological Endoscopy (ESGE) under the name of a common working group called CONUTA (CONgenital UTerine Anomalies),
which published in 2013 the final version of the system.
This classification is mainly clinically oriented and anatomy based.
The main classes of the system summarize and group embryological maldevelopment according to...
Conclusion
The knowledge of MRI variants of uterine anomalies according to the newest classification system couldhave a pivotal role for the radiologist about the solution of gynecological and obstetrics clinical problems.
MRI gives detailed information about the anatomical malformations so it could be a perfect clarifying complement of the US diagnostics and a significant item in the in vitro fertilization centers.
It could be helpful for the prevention of prolonged infertility,
in surgical management of the described anomalies and early diagnosis of a complicated pregnancy.
In...
Personal information
Contact details:
Dr. Dayana Yankova
Resident in training.
Department of Radiology,
Hospital Lozenetz,
str.
Koziak 1,
Sofia,
Bulgaria
Email:
[email protected]
Dr. George Hadjidekov
Associated professor.Department of Radiology,
HospitalLozenetz,
str.
Koziak 1,
Sofia,
Bulgaria
Email:
[email protected]
Department of Radiology,
Hospital Aleksandrovska:
Dr.
Dora Zlatareva – associated professor
Dr.
Julia Dimova – resident in training
References
1. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies -Grigoris F.
GrimbizisStephan GordtsAttilio Di Spiezio SardoSara BruckerCarlo De AngelisMarco GergoletTin-Chiu LiVasilios TanosHans BrölmannLuca GianaroliRudi Campo,
Human Reproduction,
Volume 28,
Issue 8,
1 August 2013,
Pages 2032–2044; Advanced Access publication on June 14,
2013 doi:10.1093/humrep/det098
2. The comprehensiveness of the ESHRE/ESGE classification of female genital tract congenital anomalies: a systematic review of cases not classified by the AFS system - A.
Di Spiezio Sardo,
R.
Campo,
S.
Gordts,
M.
Spinelli,
C.
Cosimato,...
