Presentation
Primary infertility.
Patient Data
Anteverted retroflexed uterus with two uterine cavities separated by a septum of low signal on T2, extending into endocervical canal. Flat shape of the surface of the fundus with an acute angle between uterine cavities (60° in this case).
Normal appearance of the ovaries containing small follicles. Minimal effusion in Douglas pouch is noted.
Case Discussion
MRI features of a complete septate uterus.
Septate uterus is considered as the commonest uterine anomaly (accounts for ~55% of such anomalies). It is classified as a class V Mullerian duct anomaly and associated with reproductive failure (67%), affecting ~15% of women with recurrent pregnancy loss.