Abstract
Congenital uterine anomalies are a range of morphological abnormalities of the uterus, which form as a result of aberrant development of the Müllerian ducts at around 8 weeks’ gestation.1 They are associated with a wide range of pregnancy problems, including miscarriage, pre-term delivery, ante-partum bleeding and intrauterine growth restriction.2 However, our knowledge of congenital uterine anomalies has been limited because of their apparent rarity and the invasive nature of diagnostic tests, which have traditionally been used to assess uterine morphology. Screening for congenital uterine anomalies has therefore been limited to women with poor reproductive histories, such as recurrent first-trimester miscarriage. The prevalence of anomalies in the general population of women, with normal reproductive histories, and their clinical significance have remained largely unknown.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Rock J (1997) Surgery for anomalies of the Miillerian ducts. In: Rock J, Thompson J (eds) Te Linole’s operative gynaecology. Lippincott-Raven, Philadelphia, pp 687–731
Heinonen P, Saarikoski S, Pystynen P (1982) Reproductive performance of women with congenital uterine anomalies. Acta Obstet Gynecol Scand 61:157
Candiani G, Fedele L, Zamberletti D et al. (1983) Endometrial patterns in malformed uteri. Acta Eur Fertil 14:35–42
Fedele L, Bianchi S, Marchini M et al. (1996) Ultrastructural aspects of endometrium in infertile women with septate uterus. Fertil Steril 65:750–752.
Dabirashafi H, Bahadori S, Mohammed K et al. (1995) Septate uterus: new idea on the histological features of the septum in this abnormal uterus. Am J Obstet Gynecol 171:105–107
Rock J, Murphy A (1986) Anatomic abnormalities. Clin Obstet Gynecol 29:886–911
Homer H, Li T, Cooke I (2000) The septate uterus: a review of management and reproductive outcome. Fertil Steril 73:1–4
Reuter K, Daly D, Cohen S (1989) Septate versus bicornuate uteri: errors in imaging diagnosis. Radiology 172:749–752
The American Fertility Society (1988) The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, Miillerian anomalies and intrauterine adhesions. Fertil Steril 49:944–955
Buttram V, Gibbons W (1979) Miillerian anomalies: a proposed classification (an analysis of 144 cases). Fertil Steril 32:40–46
Woelfer B, Salim R, Banerjee S et al. (2001) Reproductive outcomes in women with congenital uterine anomalies detected by three-dimensional ultrasound screening. Obstet Gynecol 98:1099–1103
Jurkovic D, Geipel A, Gruboeck K et al. (1995) Three- dimensional ultrasound for the assessment of uterine anatomy and detection of congenital anomalies: comparison with hysterosalpingography and two-dimensional ultrasonography. Ultrasound Obstet Gynecol 5:233–237
Raga F, Bonilla-Muscoles F, Blanes J et al. (1996) Congenital Miillerian anomalies: diagnostic accuracy of three-dimensional ultrasound. Fertil Steril 65:523–528
Jurkovic D, Gruboeck K, Tailor A et al. (1997) Ultrasound screening for congenital uterine anomalies. Br J Obstet Gynaecol 104:1320–1321
Ashton D, Amin H, Richart R et al. (1988) The incidence of asymptomatic uterine anomalies in women undergoing transcervical tubal sterilisation. Obstet Gynecol 72:28–30
Simon C, Martinez L, Prado F et al. (1991) Miillerian defects in women with normal reproductive outcome. Fertil Steril 56:1192–1193
Raga F, Bauset C, Remohi J et al. (1997) Reproductive impact of congenital uterine anomalies. Hum Reprod 12:2277–2281
Acien P (1993) Reproductive performance in women with congenital uterine malformations. Hum Reprod 8:122–126
Tulandi T, Arronet G, Mclnnes R (1980) Arcuate and bicornuate uterine anomalies and infertility. Fertil Steril 34:362–364
Salim R, Woelfer B, Regan L et al. (2001) Three-dimensional ultrasound study of congenital uterine anomalies in women with a history of recurrent miscarriage. Ultrasound Obstet Gynecol 18 (suppl 1):5
Grimbizis G, Camus M, Tarlatzis B et al. (2001) Clinical implications of uterine malformations and hysteroscopic results. Hum Reprod Update 7:161–174
Fedele L, Bianchi S (1995) Hysteroscopic metroplasty for subseptate uterus. Obstet Gynecol Clin North Am 22:473–489
Kirk EP, Choung CJ, Coulam CB et al. (1993) Pregnancy after metroplasty for uterine anomalies. Fertil Steril 59:1164–1168
Rights and permissions
Copyright information
© 2003 Springer-Verlag London Limited
About this chapter
Cite this chapter
Salim, R., Jurkovic, D. (2003). Three-dimensional Ultrasound Diagnosis of Congenital Uterine Anomalies. In: Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology. Springer, London. https://doi.org/10.1007/978-1-4471-0655-5_32
Download citation
DOI: https://doi.org/10.1007/978-1-4471-0655-5_32
Publisher Name: Springer, London
Print ISBN: 978-1-4471-1170-2
Online ISBN: 978-1-4471-0655-5
eBook Packages: Springer Book Archive