Study of mullerian duct anomalies using magnetic resonance imaging technique in a tertiary care hospital of Assam

Abstract

Background: Mullerian duct anomalies (MDA) consist of a set of structural malformations resulting from abnormal development of the paramesonephric or Mullerian ducts. Mullerian duct is the embryonic structure that develops into the female reproductive tract, including the oviduct, uterus, cervix and upper vagina. The most widely accepted classification system of different mullerian anomalies was established by the American Fertility Society in 1988. This classification chart divides anomalies into seven classes: class I to class VII. Aim: Magnetic Resonance Imaging (MRI) study of the mullerian duct anomalies with different age groups, religions, different classes established by American Fertility Society and associated other anomalies. Materials and Methods: Patients with positive history coming to Radiology Department of Guwahati Medical College and Hospital, Guwahati were included in the study. After preliminary suspected ultrasonography (USG), MRI was done for all the cases. Results: 31 cases of mullerian duct anomalies were included in the study and out of which 70.97% were of class I and 9.67% were of class II and IV mullerian duct anomalies. 48.39% of the cases of mullerian duct anomalies were in age group of 15 years to less than 20 years. 27.27% cases of class I mullerian duct anomaly were associated with other anomalies like renal agenesis, ectopic kidney and ectopic ovary. Conclusion: Class I MDA is found to be most common variety; 15-20 years of age are commonly affected group and Renal anomalies are the commonly associated anomaly. Keywords: Mullerian duct, Paramesonephric duct, Anomaly