Re: Gyn: Bicornuate versus Septate uterus

From: R. Daniel Braun (rd.braun@gmail.com)
Tue Sep 4 06:18:05 2007


Does she have 2 cervices and a vaginal septum? Easy to miss if not looking for them! Been there done that. See Green J> Jan. 1970 Uterus didelphys complicating Endometrial Carcinoma by Braun. I hope you checked for kidneys while you were there. IVP is all that is needed, even though the radiologist will want an MRI. You have a uterus bicornis. The question is: "Is it bicollis or unicollis?" There is no need for any treatment. She was able to get pregnant and carry to term.

Dan

On 9/3/07, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote: >
> 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
>

--
R. Daniel Braun, MD  FACOG(L)  CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine

R. Daniel Braun

"Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941





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