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Get access to free live lectures, every week, from top radiologists.
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1 topic, 2 min.
5 topics, 14 min.
11 topics, 40 min.
Introduction to Mullerian Duct Anomalies (MDA)
5 m.Agenesis
4 m.Unicornuate with Rudimentary Horn
5 m.Didelphys Uterus – Pediatric
5 m.Didelphys Uterus – Adult
4 m.Unknown case – Septate (Complete Septate Uterus)
7 m.Complete Septate MRI (Fibrous Septum)
6 m.Partial Septate on US
3 m.Bicornuate Uterus - Case 1
4 m.Bicornuate Uterus - Case 2
2 m.Mullerian Duct Anomalies (MDA) – Teaching Points
2 m.8 topics, 21 min.
10 topics, 27 min.
Adenomyosis – Introduction
6 m.Adenomyosis Nodules
3 m.Adenomyosis – Cysts in 26 y/o Patient
3 m.Venetian Blind Appearance of Adenomyosis
3 m.Multiple Imaging Findings of Adenomyosis
4 m.Adenomyosis on MRI – Focal Thickening
3 m.Classic Adenomyosis on MRI – T2 Cysts
2 m.Adenomyosis – Problem Solving with MRI
4 m.Adenomyosis – Problem solving MRI with Endometrioma
4 m.Adenomyosis – Teaching Points
2 m.7 topics, 23 min.
11 topics, 25 min.
10 topics, 26 min.
Introduction- Post Pregnancy Considerations
1 m.Endometritis (After C-Section)
3 m.C- Section Dehiscence
4 m.C-Section Pseudoaneurysm
4 m.Retained Products of Conception (RPOC)
3 m.Retained Products of Conception and Ancillary Findings
5 m.Arteriovenous Malformation (AVM)
5 m.Arteriovenous Malformation (AVM) – Companion Case
3 m.Isthmocele – Three Appearances
3 m.Teaching Points- Post Pregnancy Considerations
1 m.0:01
So as we wrap up Müllerian duct
0:03
anomalies, I have a few teaching points
0:05
when you're approaching these cases.
0:08
Number one, always look at the fundal
0:09
contour, whether it's 3D imaging with
0:11
ultrasound or MRI, getting that uterus in
0:14
the right plane to see that fundal contour.
0:16
That's going to help you narrow it down to a
0:18
resorption issue, which is a septate or even
0:21
an arcuate uterus, versus a fusion issue,
0:23
which is going to be your bicornuate, which
0:25
is your didelphys, and your unicornuate.
0:29
You also need to look at the number of uterine
0:31
horns and the number of cervices that are there.
0:35
And that's going to help you decide whether
0:36
it's unicornuate versus bicornuate or
0:38
didelphys, depending on the number of horns.
0:41
And of course, if you have a unicornuate,
0:42
always look for that rudimentary horn
0:44
and look to see if it has endometrium.
0:47
Number of cervices, that's going to tell
0:49
you didelphys versus bicornuate, especially
0:51
if the horns are widely spaced, like
0:53
in that last case that we showed you.
0:57
Don't forget the vaginal evaluation.
0:59
That's going to be tricky with a transvaginal
1:01
ultrasound, but if you see a fluid collection or
1:03
your tech feels like there's a blockage right
1:05
there, that might be a septation problem there.
1:09
If you have an MRI, look for that
1:10
septum, look for obstruction.
1:13
Septums have a high association with
1:15
didelphys, so keep that in mind.
1:17
And there's also, of course, an
1:18
association with a complete septate
1:20
uterus, not just a partial, but a complete.
1:23
There is a low, but there is a real
1:25
association with bicornuate as well,
1:27
so keep that in the back of your mind.
1:29
If you do have a septate uterus, make
1:31
sure you measure the length of the septum.
1:33
That's what your surgeon absolutely needs
1:35
to perform the correct operation for them.
1:38
And then lastly, if you have agenesis, make sure
1:40
you look for hypoplasia of the vagina because
1:42
it's vitally important for operative planning.
Interactive Transcript
0:01
So as we wrap up Müllerian duct
0:03
anomalies, I have a few teaching points
0:05
when you're approaching these cases.
0:08
Number one, always look at the fundal
0:09
contour, whether it's 3D imaging with
0:11
ultrasound or MRI, getting that uterus in
0:14
the right plane to see that fundal contour.
0:16
That's going to help you narrow it down to a
0:18
resorption issue, which is a septate or even
0:21
an arcuate uterus, versus a fusion issue,
0:23
which is going to be your bicornuate, which
0:25
is your didelphys, and your unicornuate.
0:29
You also need to look at the number of uterine
0:31
horns and the number of cervices that are there.
0:35
And that's going to help you decide whether
0:36
it's unicornuate versus bicornuate or
0:38
didelphys, depending on the number of horns.
0:41
And of course, if you have a unicornuate,
0:42
always look for that rudimentary horn
0:44
and look to see if it has endometrium.
0:47
Number of cervices, that's going to tell
0:49
you didelphys versus bicornuate, especially
0:51
if the horns are widely spaced, like
0:53
in that last case that we showed you.
0:57
Don't forget the vaginal evaluation.
0:59
That's going to be tricky with a transvaginal
1:01
ultrasound, but if you see a fluid collection or
1:03
your tech feels like there's a blockage right
1:05
there, that might be a septation problem there.
1:09
If you have an MRI, look for that
1:10
septum, look for obstruction.
1:13
Septums have a high association with
1:15
didelphys, so keep that in mind.
1:17
And there's also, of course, an
1:18
association with a complete septate
1:20
uterus, not just a partial, but a complete.
1:23
There is a low, but there is a real
1:25
association with bicornuate as well,
1:27
so keep that in the back of your mind.
1:29
If you do have a septate uterus, make
1:31
sure you measure the length of the septum.
1:33
That's what your surgeon absolutely needs
1:35
to perform the correct operation for them.
1:38
And then lastly, if you have agenesis, make sure
1:40
you look for hypoplasia of the vagina because
1:42
it's vitally important for operative planning.
Report
Faculty
Kathryn McGillen, MD
Assistant Professor of Radiology, Medical Director of Ultrasound
Penn State University Milton S Hershey Medical Center
Tags
Uterus
Ultrasound
MRI
Gynecologic (GYN)
CT
Body
Acquired/Developmental
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