MyPACS.net: Radiology Teaching Files > Case 33254672

previously visited UTERUS DIDELPHYS
Contributed by: Marla Sauerbrun, Triton College, River Grove, IL, USA, Illinois, USA.
Patient: 37 year old female
History: 37 year old female with postpartum bleeding for the past 5 months.
Images:[small]larger

Fig. 1

Fig. 2: Left Uterus with Endometrial stripe measuring 5mm

Fig. 3: Right Uterus with Endometrial stripe measuring 5mm

Fig. 4: Uterus Didelphys

Fig. 5: Transabdominal Uterus

Fig. 6: Transabdominal Uterus
Findings:

Uterus Didelphys (Double Uterus) is noted with no discrete masses.

Rt. Uterus measuring 13.4 x 5 x 6.2 cm - Endo measuring 5mm

Lt Uterus measuring 4.5 x 2 x 2 cm  - Endo measuring 5mm - Endometrial stripe in Left Uterus is prominent for it's size.

 

Diagnosis: Uterus Didelphys
Discussion:

Uterus Didelphys is a rare, complete duplication of the Uterus.  The double Uterus can share a set of fallopian tubes, ovaries, cervix and vagina, and other times have a complete duplication of the uterus, cervix, and vagina.  This results from the failure of the mullerian ducts to fuse together.  Both Uteri may be similar in size, or one may be smaller in size.  The vaginal duplication may result in one smaller vagina (hemivagina) opening within the other vagina, so this anomaly may not be identified.  The double vagina may be assocaited with hematoclopos (menstrual blood within the vagina). 

A double uterus is not usually associated with fertility problems and does not generally require treatment. 

Ultrasound Appearance:  Two seperate Uteri and endometrial echoes.   The inital impression of uterus didelphys may suggest a normal uterus with an adjacent pelvic mass, especially if the uteri are asymmetric. 

 

 

 

References:

Textbook of Diagnostic Ultrasonography 6th Edition       Sandra L. Hagen-Ansert

Clinical Guide to Ultrasonography      Charlotte Henningsen

Comments:
No comments posted.
Additional Details:

Case Number: 33254672Last Updated: 11-28-2009
Anatomy: Other   Pathology: Congenital
Modality: USAccess Level: Readable by all users

The reader is fully responsible for confirming the accuracy of this content.
Text and images may be copyrighted by the case author or institution.
You can help keep MyPACS tidy: if you notice a case which is not useful (e.g. a test case) or inaccurate, please contact us.