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Gynecology
Diagnosis
Uterus
Congenital
Unicornuate Uterus
Unicornuate Uterus
Akram M. Shaaban, MBBCh
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Class II müllerian duct anomaly (MDA) based on classification of American Society for Reproductive Medicine (ASRM)

          IMAGING

          • General Features

            • Hysterosalpingography

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Ludwin A et al: Unicornuate uterus and the noncommunicating functional horn: continued debate on the diagnosis, classification, and treatment. Fertil Steril. 113(4):772-3, 2020
                                        2. Fukunaga T et al: The spectrum of imaging appearances of müllerian duct anomalies: focus on MR imaging. Jpn J Radiol. 35(12):697-706, 2017
                                        3. Trad M et al: Mullerian duct anomalies and a case study of unicornuate uterus. Radiol Technol. 84(6):571-6, 2013
                                        4. Allen JW et al: Incidence of ovarian maldescent in women with mullerian duct anomalies: evaluation by MRI. AJR Am J Roentgenol. 198(4):W381-5, 2012
                                        5. Khati NJ et al: The unicornuate uterus and its variants: clinical presentation, imaging findings, and associated complications. J Ultrasound Med. 31(2):319-31, 2012
                                        6. 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
                                        7. Junqueira BL et al: Müllerian duct anomalies and mimics in children and adolescents: correlative intraoperative assessment with clinical imaging. Radiographics. 29(4):1085-103, 2009
                                        8. Steinkeler JA et al: Female infertility: a systematic approach to radiologic imaging and diagnosis. Radiographics. 29(5):1353-70, 2009
                                        9. Rackow BW et al: Reproductive performance of women with müllerian anomalies. Curr Opin Obstet Gynecol. 19(3):229-37, 2007
                                        10. Troiano RN et al: Mullerian duct anomalies: imaging and clinical issues. Radiology. 233(1):19-34, 2004
                                        11. Chakravarti S et al: Rudimentary uterine horn: management of a diagnostic enigma. Acta Obstet Gynecol Scand. 82(12):1153-4, 2003
                                        12. Marten K et al: MRI in the evaluation of müllerian duct anomalies. Clin Imaging. 27(5):346-50, 2003
                                        13. Scarsbrook AF et al: MRI appearances of müllerian duct abnormalities. Clin Radiol. 58(10):747-54, 2003
                                        14. Troiano RN: Magnetic resonance imaging of mullerian duct anomalies of the uterus. Top Magn Reson Imaging. 14(4):269-79, 2003
                                        15. Brody JM et al: Unicornuate uterus: imaging appearance, associated anomalies, and clinical implications. AJR Am J Roentgenol. 171(5):1341-7, 1998
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Definitions

                                                  • Class II müllerian duct anomaly (MDA) based on classification of American Society for Reproductive Medicine (ASRM)

                                                IMAGING

                                                • General Features

                                                  • Hysterosalpingography

                                                    • CT Findings

                                                      • MR Findings

                                                        • Ultrasonographic Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Staging, Grading, & Classification

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Ludwin A et al: Unicornuate uterus and the noncommunicating functional horn: continued debate on the diagnosis, classification, and treatment. Fertil Steril. 113(4):772-3, 2020
                                                                              2. Fukunaga T et al: The spectrum of imaging appearances of müllerian duct anomalies: focus on MR imaging. Jpn J Radiol. 35(12):697-706, 2017
                                                                              3. Trad M et al: Mullerian duct anomalies and a case study of unicornuate uterus. Radiol Technol. 84(6):571-6, 2013
                                                                              4. Allen JW et al: Incidence of ovarian maldescent in women with mullerian duct anomalies: evaluation by MRI. AJR Am J Roentgenol. 198(4):W381-5, 2012
                                                                              5. Khati NJ et al: The unicornuate uterus and its variants: clinical presentation, imaging findings, and associated complications. J Ultrasound Med. 31(2):319-31, 2012
                                                                              6. 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
                                                                              7. Junqueira BL et al: Müllerian duct anomalies and mimics in children and adolescents: correlative intraoperative assessment with clinical imaging. Radiographics. 29(4):1085-103, 2009
                                                                              8. Steinkeler JA et al: Female infertility: a systematic approach to radiologic imaging and diagnosis. Radiographics. 29(5):1353-70, 2009
                                                                              9. Rackow BW et al: Reproductive performance of women with müllerian anomalies. Curr Opin Obstet Gynecol. 19(3):229-37, 2007
                                                                              10. Troiano RN et al: Mullerian duct anomalies: imaging and clinical issues. Radiology. 233(1):19-34, 2004
                                                                              11. Chakravarti S et al: Rudimentary uterine horn: management of a diagnostic enigma. Acta Obstet Gynecol Scand. 82(12):1153-4, 2003
                                                                              12. Marten K et al: MRI in the evaluation of müllerian duct anomalies. Clin Imaging. 27(5):346-50, 2003
                                                                              13. Scarsbrook AF et al: MRI appearances of müllerian duct abnormalities. Clin Radiol. 58(10):747-54, 2003
                                                                              14. Troiano RN: Magnetic resonance imaging of mullerian duct anomalies of the uterus. Top Magn Reson Imaging. 14(4):269-79, 2003
                                                                              15. Brody JM et al: Unicornuate uterus: imaging appearance, associated anomalies, and clinical implications. AJR Am J Roentgenol. 171(5):1341-7, 1998