Gyn: Bicornuate versus Septate uterus

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Mon Sep 3 21:04:44 2007


Recently, I did a term breech section on one of our CNM patients who was noted at around 8 or 10 weeks to have a bicornuate uterus (new diagnosis).

At surgery, she had a full septum, and the fundus had an indentation and two equal halves.

I assume that this is bicornuate, as opposed to sepate, given the concavity on the external aspect of the fundus. . .correct?

Anyway, would you simply image her with an MRI at 6 weeks? Does anyone have any experience with this? Also, and I don't mean to sound crappy, I wonder if this is a no-brainer for a radiologist who probably rarely sees MRIs for Mullerian abnormalities.

Garry

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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