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Type:
Educational Exhibit
Keywords:
Education and training, Obstetrics, Congenital, Contrast agent-other, Diagnostic procedure, MR, Obstetrics (Pregnancy / birth / postnatal period), Anatomy, Genital / Reproductive system female
Authors:
A. Calderwood1, D. M. Cecchi2, G. rodriguez conte grand1, D. Abecasis1, F. M. OLIVERA PLATA1, V. N. Alarcon1, E. J. Mondello1; 1Buenos Aires/AR, 2Capital Federal, Buenos Aires/AR
DOI:
10.1594/ecr2017/C-0966
Background
Congenital malformations of the female genital tract have great clinical importance,
mainly in patients on reproductive age.
these results from anomalies in the formation,
fusion and ⁄or resorption of the septum of Müllerian ducts.
The American Fertility Society (AFS) clasification (Fig.
1):
I |
Uterine agenesis or hypoplasia |
II |
Unicornuate uterus |
III |
Didelphys uterus |
IV |
Bicornuate uterus |
V |
Septate uterus (partial and complete) |
VI |
Arcuate uterus |
VII |
Drug related anomalies "DES" |
The most common types are Septate Uterus,
Bicornuate Uterus,
Arcuate Uterus,
Didelphys Uterus,
Unicornuate Uterus,
and Uterine Hypoplasia.
The less common types are those resulting from the urogenital sinus,
such as vaginal septum and cervicovaginal atresia/dysplasia.
These may appear independently or in combination with abnormalities of the Müllerian ducts.
While Hysterosalpingography is the method of choice in the evaluation of tubarianl patency,
it does not define the outer uterine contour and uses ionizing radiation,
which is why MRI has become a tool with greater sensitivity offering a non-invasive technique with high anatomical definition.