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Arcuate Uterus
Akram M. Shaaban, MBBCh; Nyree Griffin, MD, FRCR; Evis Sala, MD, PhD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Class VI müllerian duct anomaly (MDA) based on Buttram & Gibbons and American Society for Reproductive Medicine revision
                • Originally classified by Buttram & Gibbons as a subclass of bicornuate uterus
                • Later recognized as a separate entity in American Society for Reproductive Medicine revision
                  • Due to presence of normal external fundal contour

            IMAGING

            • General Features

              • Hysterosalpingography (HSG)

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Behr SC et al: Imaging of müllerian duct anomalies. Radiographics. 32(6):E233-50, 2012
                                      2. Marcal L et al: Mullerian duct anomalies: MR imaging. Abdom Imaging. 36(6):756-64, 2011
                                      3. Bermejo C et al: Three-dimensional ultrasound in the diagnosis of Müllerian duct anomalies and concordance with magnetic resonance imaging. Ultrasound Obstet Gynecol. 35(5):593-601, 2010
                                      4. Mucowski SJ et al: The arcuate uterine anomaly: a critical appraisal of its diagnostic and clinical relevance. Obstet Gynecol Surv. 65(7):449-54, 2010
                                      5. Chandler TM et al: Mullerian duct anomalies: from diagnosis to intervention. Br J Radiol. 82(984):1034-42, 2009
                                      6. Mueller GC et al: Müllerian duct anomalies: comparison of MRI diagnosis and clinical diagnosis. AJR Am J Roentgenol. 189(6):1294-302, 2007
                                      7. Troiano RN et al: Mullerian duct anomalies: imaging and clinical issues. Radiology. 2004
                                      8. Scarsbrook AF et al: MRI appearances of mullerian duct abnormalities. Clin Radiol. 2003
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Definitions

                                                  • Class VI müllerian duct anomaly (MDA) based on Buttram & Gibbons and American Society for Reproductive Medicine revision
                                                    • Originally classified by Buttram & Gibbons as a subclass of bicornuate uterus
                                                    • Later recognized as a separate entity in American Society for Reproductive Medicine revision
                                                      • Due to presence of normal external fundal contour

                                                IMAGING

                                                • General Features

                                                  • Hysterosalpingography (HSG)

                                                    • CT Findings

                                                      • MR Findings

                                                        • Ultrasonographic Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Behr SC et al: Imaging of müllerian duct anomalies. Radiographics. 32(6):E233-50, 2012
                                                                          2. Marcal L et al: Mullerian duct anomalies: MR imaging. Abdom Imaging. 36(6):756-64, 2011
                                                                          3. Bermejo C et al: Three-dimensional ultrasound in the diagnosis of Müllerian duct anomalies and concordance with magnetic resonance imaging. Ultrasound Obstet Gynecol. 35(5):593-601, 2010
                                                                          4. Mucowski SJ et al: The arcuate uterine anomaly: a critical appraisal of its diagnostic and clinical relevance. Obstet Gynecol Surv. 65(7):449-54, 2010
                                                                          5. Chandler TM et al: Mullerian duct anomalies: from diagnosis to intervention. Br J Radiol. 82(984):1034-42, 2009
                                                                          6. Mueller GC et al: Müllerian duct anomalies: comparison of MRI diagnosis and clinical diagnosis. AJR Am J Roentgenol. 189(6):1294-302, 2007
                                                                          7. Troiano RN et al: Mullerian duct anomalies: imaging and clinical issues. Radiology. 2004
                                                                          8. Scarsbrook AF et al: MRI appearances of mullerian duct abnormalities. Clin Radiol. 2003