Fertility and sterility · 2004
An unusual anatomic variation of a unicornuate uterus with normal external uterine morphology.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Engmann Lawrence, Schmidt David, Nulsen John, Maier Donald, Benadiva Claudio
Аннотация
OBJECTIVE: To describe a case of a unicornuate uterus with a normal external uterine morphology.
DESIGN: Case report.
SETTING: University-based fertility center.
PATIENT(S): A 30-year-old nulligravid woman with a 1-year history of infertility found to have a right proximal tubal occlusion on hysterosalpingogram.
INTERVENTION(S): Laparoscopy, hysteroscopy, and magnetic resonance imaging.
MAIN OUTCOME MEASURE(S): External and internal morphology of the uterus.
RESULT(S): Laparoscopy showed a normal external uterine morphology and normal fallopian tubes and ovaries, but chromopertubation failed to demonstrate a fill and spill from the right fallopian tube. Hysteroscopy showed a single tubular uterine cavity projecting to the left with a single left tubal ostium, consistent with a unicornuate uterus. Magnetic resonance imaging confirmed a normal external uterine fundal contour and an internal uterine morphology consistent with a unicornuate uterus.
CONCLUSION(S): This is the first reported case of a unicornuate uterus presenting with a normal external uterine morphology and an internal morphology consistent with a unicornuate uterus, and we propose inclusion of this anomaly in the classification of mullerian anomalies.
DESIGN: Case report.
SETTING: University-based fertility center.
PATIENT(S): A 30-year-old nulligravid woman with a 1-year history of infertility found to have a right proximal tubal occlusion on hysterosalpingogram.
INTERVENTION(S): Laparoscopy, hysteroscopy, and magnetic resonance imaging.
MAIN OUTCOME MEASURE(S): External and internal morphology of the uterus.
RESULT(S): Laparoscopy showed a normal external uterine morphology and normal fallopian tubes and ovaries, but chromopertubation failed to demonstrate a fill and spill from the right fallopian tube. Hysteroscopy showed a single tubular uterine cavity projecting to the left with a single left tubal ostium, consistent with a unicornuate uterus. Magnetic resonance imaging confirmed a normal external uterine fundal contour and an internal uterine morphology consistent with a unicornuate uterus.
CONCLUSION(S): This is the first reported case of a unicornuate uterus presenting with a normal external uterine morphology and an internal morphology consistent with a unicornuate uterus, and we propose inclusion of this anomaly in the classification of mullerian anomalies.