Müllerian duct anomalies: from diagnosis to intervention

Abstract

ABSTRACT. The purpose of this study was to review the embryology, classification, imaging features and treatment options of Mü llerian duct anomalies. The three embryological phases will be described and the appearance of the seven classes of Mü llerian duct anomalies will be illustrated using hysterosalpingography, ultrasound and MRI. This exhibit will also review the treatment options, including interventional therapy. The role of imaging is to help detect, classify and guide surgical management. At this time, MRI is the modality of choice because of its high accuracy in detecting and accurately characterising Mü llerian duct anomalies. In conclusion, radiologists should be familiar with the imaging features of the seven classes of Mü llerian duct anomalies, as the appropriate course of treatment relies upon the correct diagnosis and categorisation of each anomaly.

Innominate uteroumbilical ligament: a rare support of uterus

“…Defects in this stage result in a septate or arcuate uterus. 5 Absence of any scar mark on the skin of the anterior abdominal wall, as well as histological findings disproves the possibility of this innominate uteroumbilical ligament being a post-operative adhesion. There was no evidence of diffuse inflammatory adhesions observed while dissecting the pelvis.…”

Three Cases of Didelphys Uterus, Including Uterus Didelphys with Obstructed Hemivagina and Ipsilateral Renal Agenesis (OHVIRA Syndrome) AKA Herlyn-Werner-Wunderlich Syndrome), with a Systematic Review

“…If ultrasound suggests MDA, MRI can confirm it, which is the gold standard for diagnosis [1,18]. Three dimensional ultrasounds have also shown promising results but, are not available in many clinical settings [13,[19][20][21]. Currently, no evidence exists demonstrating any harmful effects of MRI to the fetus and if clinically necessary should be encouraged, as in case 3 [22].…”

Two-Stage Repair of Complex Utero Cervico Vaginal Anomaly with Fish-Mouth Technique and Full-Thickness Skin Graft

“…The ovaries and the lower third of vagina develop from primitive Yolk sac and sino vaginal bulbs, respectively [2].…”