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Case 10.7 

Case 10.7
Chapter:
Case 10.7
Author(s):

Christine U. Lee

, and James F. Glockner

DOI:
10.1093/med/9780199915705.003.0258
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date: 14 October 2019

45-year-old woman with abnormal uterine bleeding

Axial oblique FSE T2-weighted images (Figure 10.7.1) show a banana-shaped uterus with a single horn. Note also small nabothian cysts in the cervix.

Unicornuate uterus

Müllerian duct anomalies are not common, but their importance lies in the fact that some of them represent treatable causes of infertility. The female reproductive tract develops primarily from the paired müllerian ducts, which form the fallopian tubes, uterus, cervix, and upper two-thirds of the vagina. Normal development requires completion of organogenesis, fusion, and septal resorption. Failure of organogenesis leads to class I and class II anomalies (agenesis/hypoplasia and unicornuate uterus). Abnormalities of fusion result in bicornuate and didelphic configurations (class III and class VI). Incomplete or absent septal resorption results in a septate (class V) or arcuate (class VI) uterus....

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