Question

A 20 year old woman is evaluated for primary infertility. Hysterosalpingography was done and reveals the finding shown below. What is the anomaly seen in the image?

• A. Septate uterus
• B. Uterine didelphys
• C. Bicornuate uterus
• D. Unicornuate uterus

Answer 1

The Correct Option is A

The given scenario involves a 20-year-old woman evaluated for primary infertility using hysterosalpingography. The question asks to identify the anomaly depicted in an image provided, which corresponds to images typically used in diagnosing uterine malformations.

Analysis: The image suggests that the uterine structure is divided by a septum. This structure indicates a Septate uterus, which is a congenital uterine anomaly characterized by the presence of a fibrous or muscular partition, or septum, dividing the uterine cavity along its length.

Comparison of Options:

• Septate uterus: Featuring a septum within the uterine cavity, which is the most common Mullerian duct anomaly and can interfere with pregnancy outcomes.
• Uterine didelphys: Involves two separate uterine cavities, each with its own cervix. This condition is not suggested by the image description.
• Bicornuate uterus: Presents a heart-shaped uterus that has a deep indentation on the top and two uteri sharing a single cervix, giving a distinct image that differs from a septate uterus.
• Unicornuate uterus: Characterized by a single half of a uterus which appears as a single lateral horn, not suggested by the imaging finding.

Conclusion: The image corresponds to the characteristics of a Septate uterus, which is confirmed as the correct answer to the anomaly depicted in the hysterosalpingography.