Bicornuate unicollis uterus

Case contributed by Mohammadtaghi Niknejad
Diagnosis almost certain

Presentation

Workup for primary infertility

Patient Data

Age: 25 years
Gender: Female
Fluoroscopy

Hysterosalpingography demonstrates two separate fusiform endometrial cavities, with one cervical canal. Each endometrial cavity ends in a solitary fallopian tube.

Case Discussion

Features are most likely compatible with bicornuate unicollis uterus which is a type of uterine duplication anomaly classified as a class IV Mullerian duct anomaly.
Complementary assessment with pelvic ultrasound or MRI can helps to confirm this condition. 

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