Management of congenital uterine abnormalities

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Presentation transcript:

Management of congenital uterine abnormalities Gerard S. Letterie  Reproductive BioMedicine Online  Volume 23, Issue 1, Pages 40-52 (July 2011) DOI: 10.1016/j.rbmo.2011.02.008 Copyright © 2011 Reproductive Healthcare Ltd. Terms and Conditions

Figure 1 Hysterosalpingogram of a unicornuate uterus with a characteristic curvilinear contour and lateral displacement. Unilateral tubal patency is present. Reproductive BioMedicine Online 2011 23, 40-52DOI: (10.1016/j.rbmo.2011.02.008) Copyright © 2011 Reproductive Healthcare Ltd. Terms and Conditions

Figure 2 Hysterosalpingogram showing a normal uterine cavity with concave fundal line extending from cornua to cornua. Reproductive BioMedicine Online 2011 23, 40-52DOI: (10.1016/j.rbmo.2011.02.008) Copyright © 2011 Reproductive Healthcare Ltd. Terms and Conditions

Figure 3 Hysterosalpingogram of a normal variant of the endometrial cavity with slight downward convexity into the uterine cavity. Bilateral proximal tubal obstruction is present. Reproductive BioMedicine Online 2011 23, 40-52DOI: (10.1016/j.rbmo.2011.02.008) Copyright © 2011 Reproductive Healthcare Ltd. Terms and Conditions

Figure 4 Hysterosalpingogram of an arcuate uterus with bilateral tubal patency. Reproductive BioMedicine Online 2011 23, 40-52DOI: (10.1016/j.rbmo.2011.02.008) Copyright © 2011 Reproductive Healthcare Ltd. Terms and Conditions

Figure 5 Hysterosalpingogram of a midline uterine septum that deeply divides the cavity into two portions extending to the level of the internal os. Reproductive BioMedicine Online 2011 23, 40-52DOI: (10.1016/j.rbmo.2011.02.008) Copyright © 2011 Reproductive Healthcare Ltd. Terms and Conditions

Figure 6 Hysteroscopic view of a septate uterine cavity. The lower-most tip of the septum is located 1cm distal to the internal cervical os (location of the hysteroscope). The septum completely divides the uterine cavity into two distinct halves. Reproductive BioMedicine Online 2011 23, 40-52DOI: (10.1016/j.rbmo.2011.02.008) Copyright © 2011 Reproductive Healthcare Ltd. Terms and Conditions

Figure 7 Hysteroscopic view of the left hemiuterine cavity demonstrating the narrow, cylindrical proportions of the cavity. The view is 1cm into the left side of the septate uterus. The tubal ostia can be identified in the upper part of the image. Reproductive BioMedicine Online 2011 23, 40-52DOI: (10.1016/j.rbmo.2011.02.008) Copyright © 2011 Reproductive Healthcare Ltd. Terms and Conditions

Figure 8 Hysteroscopic view of the tip of the septum after incision with microscissors (near field of image). The incision of the septum is through the overlying endometrium and has exposed a characteristic white-to-grey fibrous tissue composing the septum. Reproductive BioMedicine Online 2011 23, 40-52DOI: (10.1016/j.rbmo.2011.02.008) Copyright © 2011 Reproductive Healthcare Ltd. Terms and Conditions