Skip to main content

Müllerian Duct Anomalies

  • Chapter
  • First Online:
Atlas of Imaging in Infertility

Abstract

Mullerian duct anomalies (MDAs) represent one of the uterine causes of infertility. In the propaedeutics of the evaluation of MDAs, various images procedures have been used, especially the two ones that will be our focus, magnetic resonance imaging (RM) and 3D ultrasonography. In this chapter a didactic compilation of the diagnostic criteria used for the MDAs cathegories as recomended by American Fertility Socliety will be shown. We will bring morphology and morphometry concepts that are used for the correct classification of MDAs, and aply them in a series of clinical cases. What we write is what we do in clinical pratice, and we try to translate this experience into words. We wish to make this chapter a source for quick consultation, with accessible information that may enable greater precision in diagnoses.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Tognotti E. Causa uterina. In: Tognotti E, editor. Infertilidade: da prática clinica a laboratorial. Primeira edição ed. São Paulo: Editora Manole; 2014. p. 111–42.

    Google Scholar 

  2. Pabuccu R, Gomel V. Reproductive outcome after hysteroscopic metroplasty in women with septate uterus and otherwise unexplained infertility. Fertil Steril. 2004;81(6):1675–8.

    Article  PubMed  Google Scholar 

  3. Chan YY, Jayaprakasan K, Zamora J, Thornton JG, Raine-Fenning N, Coomarasamy A. The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review. Hum Reprod Update. 2011;17(6):761–71.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Troiano RN, McCarthy SM. Mullerian duct anomalies: imaging and clinical issues. Radiology. 2004;233(1):19–34.

    Article  PubMed  Google Scholar 

  5. Acien P, Acien MI. The history of female genital tract malformation classifications and proposal of an updated system. Hum Reprod Update. 2011;17(5):693–705.

    Article  PubMed  Google Scholar 

  6. Mucowski SJ, Herndon CN, Rosen MP. The arcuate uterine anomaly: a critical appraisal of its diagnostic and clinical relevance. Obstet Gynecol Surv. 2010;65(7):449–54.

    Article  PubMed  Google Scholar 

  7. Di Spiezio SA, Campo R, Gordts S, Spinelli M, Cosimato C, Tanos V, et al. The comprehensiveness of the ESHRE/ESGE classification of female genital tract congenital anomalies: a systematic review of cases not classified by the AFS system. Hum Reprod. 2015;30(5):1046–58.

    Article  Google Scholar 

  8. Moini A, Mohammadi S, Hosseini R, Eslami B, Ahmadi F. Accuracy of 3-dimensional sonography for diagnosis and classification of congenital uterine anomalies. J Ultrasound Med. 2013;32(6):923–7.

    Article  PubMed  Google Scholar 

  9. Saravelos SH, Cocksedge KA, Li TC. Prevalence and diagnosis of congenital uterine anomalies in women with reproductive failure: a critical appraisal. Hum Reprod Update. 2008;14(5):415–29.

    Article  PubMed  Google Scholar 

  10. Salim R, Regan L, Woelfer B, Backos M, Jurkovic D. A comparative study of the morphology of congenital uterine anomalies in women with and without a history of recurrent first trimester miscarriage. Hum Reprod. 2003;18(1):162–6.

    Article  CAS  PubMed  Google Scholar 

  11. Bermejo C, Martinez Ten P, Cantarero R, Diaz D, Perez Pedregosa J, Barron E, et al. Three-dimensional ultrasound in the diagnosis of Mullerian duct anomalies and concordance with magnetic resonance imaging. Ultrasound Obstet Gynecol. 2010;35(5):593–601.

    Article  CAS  PubMed  Google Scholar 

  12. Piccinini PS, Doski J. Herlyn-Werner-Wunderlich syndrome: a case report. Rev Bras Ginecol Obstet. 2015;37(4):192–6.

    Article  PubMed  Google Scholar 

  13. Yoo RE, Cho JY, Kim SY, Kim SH. A systematic approach to the magnetic resonance imaging-based differential diagnosis of congenital Mullerian duct anomalies and their mimics. Abdom Imaging. 2015;40(1):192–206.

    Article  PubMed  Google Scholar 

  14. Homer HA, Li TC, Cooke ID. The septate uterus: a review of management and reproductive outcome. Fertil Steril. 2000;73(1):1–14.

    Article  CAS  PubMed  Google Scholar 

  15. Buy JN. Congenital abnormalities of the Mullerian ducts. In: Buy JN, editor. Gynecological imaging. Berlin/Heidelberg: Springer; 2013. p. 513–31.

    Chapter  Google Scholar 

  16. Bailão LA. As Anomalias Uterinas Congênitas. In: Bailão LA, editor. Diagnóstico Ultrassonográfico em Ginecologia. Rio de Janeiro: Livraria e Editora REVINTER Ltda; 2013. p. 221–313.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lucas Rios Torres .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Torres, L.R., Bretas, E.A.S., Salvatori, P.S., Chehin, R., D’Ippolito, G. (2017). Müllerian Duct Anomalies. In: de Souza, L., De Nicola, A., De Nicola, H. (eds) Atlas of Imaging in Infertility. Springer, Cham. https://doi.org/10.1007/978-3-319-13893-0_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-13893-0_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-13892-3

  • Online ISBN: 978-3-319-13893-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics