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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 Buttram & Gibbons and American Society for Reproductive Medicine revision

            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

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Bajaj SK et al: OHVIRA: Uterus didelphys, blind hemivagina and ipsilateral renal agenesis: Advantage MRI. J Hum Reprod Sci. 5(1):67-70, 2012
                                        2. Behr SC et al: Imaging of müllerian duct anomalies. Radiographics. 32(6):E233-50, 2012
                                        3. 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
                                        4. 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
                                        5. Takahata A et al: Plicae palmatae of the cervical canals in uterus didelphys: MR imaging. Abdom Imaging. 37(5):912-3, 2012
                                        6. Talebian Yazdi A et al: Uterus didelphys with obstructed hemivagina and renal agenesis: MRI findings. JBR-BTR. 94(1):16-8, 2011
                                        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. Kimble RM et al: The obstructed hemivagina, ipsilateral renal anomaly, uterus didelphys triad. Aust N Z J Obstet Gynaecol. 49(5):554-7, 2009
                                        9. Bhattacharya K et al: Uterus didelphys with fibroid uterus and ovarian cyst--rare Muellerian malformation. J Indian Med Assoc. 104(6):336-7, 2006
                                        10. Prada Arias M et al: Uterus didelphys with obstructed hemivagina and multicystic dysplastic kidney. Eur J Pediatr Surg. 15(6):441-5, 2005
                                        11. Montevecchi L et al: Resectoscopic treatment of complete longitudinal vaginal septum. Int J Gynaecol Obstet. 84(1):65-70, 2004
                                        12. Troiano RN et al: Mullerian duct anomalies: imaging and clinical issues. Radiology. 233(1):19-34, 2004
                                        13. 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
                                        14. 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
                                        15. 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
                                        16. 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 Buttram & Gibbons and American Society for Reproductive Medicine revision

                                                  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

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Bajaj SK et al: OHVIRA: Uterus didelphys, blind hemivagina and ipsilateral renal agenesis: Advantage MRI. J Hum Reprod Sci. 5(1):67-70, 2012
                                                                              2. Behr SC et al: Imaging of müllerian duct anomalies. Radiographics. 32(6):E233-50, 2012
                                                                              3. 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
                                                                              4. 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
                                                                              5. Takahata A et al: Plicae palmatae of the cervical canals in uterus didelphys: MR imaging. Abdom Imaging. 37(5):912-3, 2012
                                                                              6. Talebian Yazdi A et al: Uterus didelphys with obstructed hemivagina and renal agenesis: MRI findings. JBR-BTR. 94(1):16-8, 2011
                                                                              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. Kimble RM et al: The obstructed hemivagina, ipsilateral renal anomaly, uterus didelphys triad. Aust N Z J Obstet Gynaecol. 49(5):554-7, 2009
                                                                              9. Bhattacharya K et al: Uterus didelphys with fibroid uterus and ovarian cyst--rare Muellerian malformation. J Indian Med Assoc. 104(6):336-7, 2006
                                                                              10. Prada Arias M et al: Uterus didelphys with obstructed hemivagina and multicystic dysplastic kidney. Eur J Pediatr Surg. 15(6):441-5, 2005
                                                                              11. Montevecchi L et al: Resectoscopic treatment of complete longitudinal vaginal septum. Int J Gynaecol Obstet. 84(1):65-70, 2004
                                                                              12. Troiano RN et al: Mullerian duct anomalies: imaging and clinical issues. Radiology. 233(1):19-34, 2004
                                                                              13. 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
                                                                              14. 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
                                                                              15. 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
                                                                              16. Woodward PJ et al: MR imaging in the evaluation of female infertility. Radiographics. 13(2):293-310, 1993