Müllerian duct anomalies may cause obstetrical complications. MRI provides an excellent, non-invasive method of differentiating between the different types of anomaly and is an important part of the comprehensive clinical assessment to determine management.

Sample Epic Order (click image to enlarge)

Pelvis MRI at 3T order for Mullerian anomalies.

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Examples (click on images)

Sagittal T2 weighted image of a patient with a long transverse vaginal septum, with a narrow vaginal canal. Gel was placed in the vagina prior to the scan to help delineate the anatomy.Coronal T2 weighted image of a patient with a long transverse vaginal septum, with a narrow vaginal canal. Gel distends the normal caliber lower third of the vagina. An axial section through the cervix is present at the top of the image.Coronal oblique T2 weighted MR image of a septate uterus.
Didelphys

References

  1. Humphries PD, Simpson JC, Creighton SM, Hall-Craggs MA. MRI in the assessment of congenital vaginal anomalies. Clin Radiol 2008; 63:442-448.PubMed link
  2. Mueller GC, Hussain HK, Smith YR, et al. Mullerian duct anomalies: comparison of MRI diagnosis and clinical diagnosis. AJR Am J Roentgenol 2007; 189:1294-1302.PubMed link

Last modified Thu, 23 Aug, 2012 at 16:00