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Gynecology
Diagnosis
Uterus
Congenital
Uterus Didelphys
Uterus Didelphys
Akram M. Shaaban, MBBCh; Nyree Griffin, MD, FRCR; Caroline Reinhold, MD, MSc
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Class III 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. 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
                                          2. Yoo RE et al: A systematic approach to the magnetic resonance imaging-based differential diagnosis of congenital Müllerian duct anomalies and their mimics. Abdom Imaging. 40(1):192-206, 2015
                                          3. Bajaj SK et al: OHVIRA: Uterus didelphys, blind hemivagina and ipsilateral renal agenesis: advantage MRI. J Hum Reprod Sci. 5(1):67-70, 2012
                                          4. Behr SC et al: Imaging of müllerian duct anomalies. Radiographics. 32(6):E233-50, 2012
                                          5. Del Vescovo R et al: Herlyn-Werner-Wunderlich syndrome: MRI findings, radiological guide (two cases and literature review), and differential diagnosis. BMC Med Imaging. 12:4, 2012
                                          6. Schutt AK et al: Perioperative evaluation in Herlyn-Werner-Wunderlich syndrome. Obstet Gynecol. 2012 Oct;120(4):948-51. Erratum in: Obstet Gynecol. 120(6):1483, 2012
                                          7. Takahata A et al: Plicae palmatae of the cervical canals in uterus didelphys: MR imaging. Abdom Imaging. 37(5):912-3, 2012
                                          8. Talebian Yazdi A et al: Uterus didelphys with obstructed hemivagina and renal agenesis: MRI findings. JBR-BTR. 94(1):16-8, 2011
                                          9. 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
                                          10. Kimble RM et al: The obstructed hemivagina, ipsilateral renal anomaly, uterus didelphys triad. Aust N Z J Obstet Gynaecol. 49(5):554-7, 2009
                                          11. Bhattacharya K et al: Uterus didelphys with fibroid uterus and ovarian cyst--rare Muellerian malformation. J Indian Med Assoc. 104(6):336-7, 2006
                                          12. Prada Arias M et al: Uterus didelphys with obstructed hemivagina and multicystic dysplastic kidney. Eur J Pediatr Surg. 15(6):441-5, 2005
                                          13. Montevecchi L et al: Resectoscopic treatment of complete longitudinal vaginal septum. Int J Gynaecol Obstet. 84(1):65-70, 2004
                                          14. Troiano RN et al: Mullerian duct anomalies: imaging and clinical issues. Radiology. 233(1):19-34, 2004
                                          15. Dalkalitsis N et al: Unicornuate uterus and uterus didelphys indications and techniques for surgical reconstruction: a review. Clin Exp Obstet Gynecol. 30(2-3):137-43, 2003
                                          16. Hinckley MD et al: Management of uterus didelphys, obstructed hemivagina and ipsilateral renal agenesis. A case report. J Reprod Med. 48(8):649-51, 2003
                                          17. Takagi H et al: Magnetic resonance imaging in the evaluating of double uterus and associated urinary tract anomalies: a report of five cases. J Obstet Gynaecol. 23(5):525-7, 2003
                                          18. Woodward PJ et al: MR imaging in the evaluation of female infertility. Radiographics. 13(2):293-310, 1993
                                          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 III 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. 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
                                                                                  2. Yoo RE et al: A systematic approach to the magnetic resonance imaging-based differential diagnosis of congenital Müllerian duct anomalies and their mimics. Abdom Imaging. 40(1):192-206, 2015
                                                                                  3. Bajaj SK et al: OHVIRA: Uterus didelphys, blind hemivagina and ipsilateral renal agenesis: advantage MRI. J Hum Reprod Sci. 5(1):67-70, 2012
                                                                                  4. Behr SC et al: Imaging of müllerian duct anomalies. Radiographics. 32(6):E233-50, 2012
                                                                                  5. Del Vescovo R et al: Herlyn-Werner-Wunderlich syndrome: MRI findings, radiological guide (two cases and literature review), and differential diagnosis. BMC Med Imaging. 12:4, 2012
                                                                                  6. Schutt AK et al: Perioperative evaluation in Herlyn-Werner-Wunderlich syndrome. Obstet Gynecol. 2012 Oct;120(4):948-51. Erratum in: Obstet Gynecol. 120(6):1483, 2012
                                                                                  7. Takahata A et al: Plicae palmatae of the cervical canals in uterus didelphys: MR imaging. Abdom Imaging. 37(5):912-3, 2012
                                                                                  8. Talebian Yazdi A et al: Uterus didelphys with obstructed hemivagina and renal agenesis: MRI findings. JBR-BTR. 94(1):16-8, 2011
                                                                                  9. 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
                                                                                  10. Kimble RM et al: The obstructed hemivagina, ipsilateral renal anomaly, uterus didelphys triad. Aust N Z J Obstet Gynaecol. 49(5):554-7, 2009
                                                                                  11. Bhattacharya K et al: Uterus didelphys with fibroid uterus and ovarian cyst--rare Muellerian malformation. J Indian Med Assoc. 104(6):336-7, 2006
                                                                                  12. Prada Arias M et al: Uterus didelphys with obstructed hemivagina and multicystic dysplastic kidney. Eur J Pediatr Surg. 15(6):441-5, 2005
                                                                                  13. Montevecchi L et al: Resectoscopic treatment of complete longitudinal vaginal septum. Int J Gynaecol Obstet. 84(1):65-70, 2004
                                                                                  14. Troiano RN et al: Mullerian duct anomalies: imaging and clinical issues. Radiology. 233(1):19-34, 2004
                                                                                  15. Dalkalitsis N et al: Unicornuate uterus and uterus didelphys indications and techniques for surgical reconstruction: a review. Clin Exp Obstet Gynecol. 30(2-3):137-43, 2003
                                                                                  16. Hinckley MD et al: Management of uterus didelphys, obstructed hemivagina and ipsilateral renal agenesis. A case report. J Reprod Med. 48(8):649-51, 2003
                                                                                  17. Takagi H et al: Magnetic resonance imaging in the evaluating of double uterus and associated urinary tract anomalies: a report of five cases. J Obstet Gynaecol. 23(5):525-7, 2003
                                                                                  18. Woodward PJ et al: MR imaging in the evaluation of female infertility. Radiographics. 13(2):293-310, 1993