UMass Chan Affiliations
Department of RadiologyDocument Type
Journal ArticlePublication Date
1989-09-01Keywords
AdultDiagnostic Errors
Female
Humans
*Hysterosalpingography
Laparoscopy
Luteal Phase
Mullerian Ducts
Preoperative Care
*Ultrasonography
Uterus
Life Sciences
Medicine and Health Sciences
Metadata
Show full item recordAbstract
Since two mullerian defects, the septate and bicornuate uteri, are no longer repaired by means of the same operative approach, an accurate preoperative diagnosis of these anomalies is now critical. A septum can be removed by means of hysteroscopic metroplasty. However, repair of a bicornuate uterus still requires abdominal surgery. Hysterosalpingography (HSG) has been the primary diagnostic modality for mullerian defects. On the basis of 63 patients, HSG findings alone, as interpreted by the radiologist, had a diagnostic accuracy of 55%. When this was supplemented with a gynecologic evaluation, the diagnostic accuracy improved to only 62.5%. However, when a diagnostic protocol that include ultrasound (US) examination with HSG was used for evaluating mullerian defects, the diagnostic accuracy improved to 90%, with all errors being noncritical. Therefore, it is concluded that HSG alone is not adequate to make the distinction between a septate and a bicornuate uterus unless the angle of divergence of two straight uterine cavities is 75 degrees or less, indicating a septate uterus. Luteal-phase US is frequently necessary to distinguish between these anomalies or to diagnose them in combination.Source
Radiology. 1989 Sep;172(3):749-52.
DOI
10.1148/radiology.172.3.2528160Permanent Link to this Item
http://hdl.handle.net/20.500.14038/38761PubMed ID
2528160Related Resources
ae974a485f413a2113503eed53cd6c53
10.1148/radiology.172.3.2528160