Bicornuate uterus

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Menorrhagia.

Patient Data

Age: 50 years
Gender: Female

Pelvis

mri

Bicornuate uterus noted, showing multiple small mainly interstitial uterine fibroids, showing T2 hypointense signal, with the largest noted at the right cornu, measuring 2 cm in diameter.

Small Nabothian cysts are also noted.

Case Discussion

Bicornuate uterus anomaly is suggested based on the presence of a deep fundal cleft of more than 1 cm, with a double uterine cavity and one cervical canal (bicornuate unicollis).

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