Patient History: A 23 yo female sent from her vertility clinic for complete pelvic exam and salpingogram. Pt having difficulty with pregnancy attempts. Your thoughts?
The DMS Program at Montgomery College offers three major concentrations of study- General (Abdominal, Ob/Gyn, Breast & Small Parts), Cardiac (Adult and Pediatric), and Vascular Technology. Upon successfully completing the DMS Program at MC, graduates are eligible to sit for their ARDMS National Board Exams. For more information on our Ultrasound Program, visit our website at http://www.Montgomerycollege.edu/dms
Search This Blog
6 comments:
Hi, Nancy
I think these are typical images of septate uterus. The outer fundal contour of the uterus is almost flat, which means it is not a biconuate but a septate uterus.
The septum is fibrous tissue without much of a blood supply. So pregnancies that implant on the septum are thought to be at higher risk of miscarrying because the placenta cannot develop properly and access nutrients. Women with septate uteri who do not miscarry may be at increased risk for preterm labor and having a premature baby.
Hye said
Great comment, Hye! Thanks
I don't see an indentation at the top of the uterus so I also agree with Hye that it's a septated uterus.
Women with a septate uterus have a band of tissue called a septum running down the middle of their uteri. Septate uterus is a type of congenital uterine malformation that results from a problem in the formation of the woman's uterus during her own prenatal development.
A uterine septum increases the risk of miscarriages and can be a factor in recurrent miscarriages.
septate uterus is the most common mullerian anomaly.
Do you think there may be a possibility that this patient has a bicornuate uterus? In the coronal view, I don’t see the septation go down very far. With a septate uterus, the septation extends down into the body of the uterus. The uterine lining looks more heart shaped to me. Pregnancies in patients who have a bicornuate uterus are considered high risk because these patients may miscarry more frequently then a person who has no uterine malformation. They are also more likely to have preterm labor with a malpresentation such as a breech or transverse presentation. I would like to see a HSG. So glad you had a coronal view to look at.
Image 4 look heart-shaped. I think it is bicournuate uterus. It is a type of uterine malformation. Upper part of uterus has two horns.
Post a Comment