Septate uterus

Discussion:

The patient has two children in their teenage with a past history of recurrent abortion and in her current second marriage complaining of secondary infertility.

Supportive criteria for the diagnosis of septate uterus are:

  • depth from the interstitial line to the apex of the indentation >1.5 cm (septum length)
  • angle of the indentation <90 degrees
  • intercornual distance is not more than 4 cm
  • Convex uterine fundus 

Incidentally noted mild right hydrosalpinx, identified by the “cogwheel” appearance of the mucosal folds in cross-section.

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