Aims and objectives
AIM:
To accurately classify the Mullerian duct anomalies as surgical planning varies depending on the subtypes.
To look for associated renal and skeletalanomalies.
OBJECTIVES :
The Mullerian ducts are the paired embryologic structures which undergo fusion normally between 6 - 11 weeks and leads to the formation of the uterus,
fallopian tubes,
cervix and the upper two-thirds of the vagina.
The lower third of vagina and ovaries arises from sinovaginal bud and primitive yolk sac.
Any disruption in this fusion leadsto Mullerian duct anomalies and...
Methods and materials
10 patients over a period of 3 months who presented with the history of infertility and recurrent miscarriages were referred to our department for further evaluation by MRI,
thebasic investigations like Ultrasonography and Hysterosalpingography were done.
MRI was performed using GE signa HD x 1.5 tesla after getting human ethical committee approval and informed consent.
The following sequences were used - Axial T1 weighted spin-echo,
T2 weighted fast spin-echo in sagittal,
long axis and short axis planes of the uterus.To classify the Mullerian duct anomalies...
Results
Out of 10 patients MRI could accurately reveal Mullerian duct anomalies in all 10 patients.
MRI provides detailed anatomy of both the internal and external uterine cavity.
The maximum no of cases (5) turned out to be bicornuate uterus.
AT MRI: The bicornuate uterus shows a fundal cleft which is greater than 1 cm,
with a soft tissue seperating both the uterine cavities.
This finding helps in differentiating between the bicornuate uterus and uterine didelphys.
Both the uterine horns have normal zonal anatomy.
The appearance...
Conclusion
Mullerian duct anomalies are a complex and broad spectrum of developmental anomalies.
While MDAs may be initially detected at HSG during the investigation of infertility or at the USG,
MR imaging is currently the imaging modality of choice due to its reliability and accuracy.
On identification of an MDA,
radiologists should also look for associated renal and skeletal anomalies.
Anomalies of the renal tract may be identified at the time pelvic MR imaging is performed.
It is essential to accurately classify MDAs,
as surgical planning...
Personal information
Dr.F.Abubacker Sulaiman MD.RD,EDiR
Professor & Head of Department
Dept of Radiology
Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research
Melmaruvathur
Kancheepuram District
Tamilnadu -603319
India
Dr.Y.Divya,
M.B.B.S
Final year postgraduste
Dept of Radiology
Chettinad Hospital & Research Institute
Chennai
Tamilnadu-603103
India
Dr.B.Ashraf Ahmed MD.RD
Associate Professor
Dept of Radiology,
Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research
Melmaruvathur
Kancheepuram District
Tamilnadu -603319
India
Dr.K.Saravannan MD.RD
Senior Resident
Dept of Radiology,
Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research
Melmaruvathur
Kancheepuram District
Tamilnadu -603319
India
Dr.J.Viyango...
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