Abstract
Complex Mullerian Duct Anomalies Defying Traditional Classifica tion: Lessons Learned
Highlights
Congenital anomalies of the uterus may be asymptomatic and unrecognized, or present clinically during puberty due to amenorrhea or childbearing years due to infertility or recurrent miscarriage
The cases presented in this pictorial review run counter to this cherished principle and provide a useful reminder that classification, in some cases, may be impossible
The cervix is normal in configuration with the superficial margin ending blindly at the level of the internal os. This patient had elements primarily of a class IIb Mullerian Duct Anomalies (MDAs), but the dissociation of the uterine corpus from the uterine cervix with no communication of the endometrial and endocervical cavities was beyond classification, and surgically-proven
Summary
Congenital anomalies of the uterus may be asymptomatic and unrecognized, or present clinically during puberty due to amenorrhea or childbearing years due to infertility or recurrent miscarriage. This patient had elements primarily of a class IIb (unicornuate, noncommunicating) MDA, but the dissociation of the uterine corpus from the uterine cervix with no communication of the endometrial and endocervical cavities was beyond classification, and surgically-proven. This was a young female (11 years-old) with primary amenorrhea, with MRI demonstrating a right unicornuate uterus with large associated hematometros.
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