Bicornuate vs septate uterus

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

A 35 year old female referred with infertility.

Patient Data

Age: 35 years
Gender: Female

Hysterosalpingography

Fluoroscopy

There are two markedly splayed uterine horns.

Case Discussion

Recent patient case referred to us with a three years history of infertility.

Hysterosalpingography showed septate vs bicornate uterus: it is difficult to differentiate between septate and bicornuate anomalies since the uterine fundal contour is not visible on HSG. This differentiation is critical because bicornuate uterus does not pose fertility-related issues.

This case was further revealed to represent a bicornuate uterus.

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