MRI Imaging Appearance in Mullerian Duct Anomalies

Abstract

Abstract Background Müllerian duct anomalies include a complex spectrum of anatomical anomalies that arise from deviations during the normal development of the Müllerian ducts. In paediatrics, such defects cannot present with any clinical symptoms before puberty, yet, they can also have obstructive symptoms or a mass effect due to presence of a non communicating rudimentary horn or transverse vaginal septum. At the beginning of puberty, girls with these anomalies might have primary amenorrhea, pelvic pain or endometriosis. Müllerian duct anomalies have also associated with a variety of other congenital abnormalities. Aim of the Work To review MRI features of Mullerian Duct Anomalies and classify them according to ASRM and ESHRE-ESGE classifications. Patients and Methods The study was a case series study that included 37 patients who underwent pelvic MRI at Radiology Department “Ain Shams University hospitals” in Cairo, Egypt. Results In our study, Hypoplastic, Agenesis and Didelphysis found to have the same ratio of (21.6%), while Bicornuate uterus was (13.5%), septate (8.1%), unicornuate and transverse vaginal septum all were of (5.4%) incidence and the least common was arcuate uterus with (2.7%) incidence. Conclusion MRI is a highly helpful technique for evaluating female genital abnormalities and is able to consistently provide the essential imaging characteristics for the accurate identification of Mullerian malformations. Additionally, incidental pelvic disease and any related renal abnormalities may be thoroughly evaluated by MRI in a single scan, removing the need for additional diagnostic procedures.