anomalies of uterine development
Uterus
bicornis bicollis mit gemeinsamer Portioöffnung: Das Cavum uteri ist vollständig getrennt, es gibt aber noch gemeinsames Myometrium (sonst Uterus didelphys); Septum in nahezu der kompletten Zervix. MRT T2, links 2 Schichten paracoronar, rechts 3 Schichten axial in verschiedenen Höhen.
Uterus
subseptus in der Computertomographie links axial und rechts in der Ebene des Uterus rekonstruiert. Zusätzlich zystischer Tumor mit abgebildet.
Accessory and
cavitated uterine mass (ACUM)- A rare Mullerian anomaly. STIR axial image showing thick-walled lesion contiguous with the left lateral uterine wall.
Accessory and
cavitated uterine mass (ACUM)- A rare Mullerian anomaly. T1 fat suppressed axial image shows bright signal in the central part of the lesion consistent with signal intensity of blood degradation products.
Müllerian
duct anomalies • Müllerian duct development - Gray's anatomy illustration - Ganzer Fall bei Radiopaedia
Septate
uterus • Uterine anatomical abnormalities (illustrations) - Ganzer Fall bei Radiopaedia
Müllerian
duct anomalies • Bicornuate uterus with solitary kidney - Ganzer Fall bei Radiopaedia
Uterine
duplication anomalies • Bicornuate uterus - Ganzer Fall bei Radiopaedia
Uterine
duplication anomalies • Septate uterus with ovarian pathologies - Ganzer Fall bei Radiopaedia
Müllerian
duct anomalies • Arcuate uterus - Ganzer Fall bei Radiopaedia
Renal
agenesis • Unilateral renal agenesis and class II Mullerian duct anomaly - Ganzer Fall bei Radiopaedia
Müllerian
duct anomalies • Unicornuate uterus with renal anomaly - Ganzer Fall bei Radiopaedia
Müllerian
duct anomalies • Unicornuate uterus - type B - Ganzer Fall bei Radiopaedia
Uterine
duplication anomalies • Bicornuate uterus with triamniotic dichorionic triplet pregnancy (3D ultrasound) - Ganzer Fall bei Radiopaedia
Septate
uterus • Septate uterus - Ganzer Fall bei Radiopaedia
Unicornuate
uterus • Unicornuate uterus (3D ultrasound) - Ganzer Fall bei Radiopaedia
There are many classification systems for congenital utero-vaginal anomalies. These include:
- Buttram and Gibbons classification
- American Fertility Society (AFS) classification
- Modified Rock and Adam - AFS classification
Modified Rock and Adam - AFS classification
This classification divides congenital uterine anomalies into four main types:
- class I: dysgenesis of Müllerian ducts
- includes agenesis or hypoplasia of the müllerian duct derivatives: the uterus and upper two-thirds of the vagina
- the most common form is the Mayer-Rokitansky-Kuster-Hauser syndrome which is the combined agenesis of the uterus, cervix, and upper portion of the vagina
- class II: disorders of vertical fusion
- these anomalies are due to failure of fusion of the müllerian system with the sinovaginal bulb
- they include cervical dysgenesis and obstructive and nonobstructive transverse vaginal septa
- class III: disorders of lateral fusion
- describes anomalies that result in a duplicated or partially duplicated reproductive tract
- these disorders are due to impaired fusion and/or septal resorption of fusing Müllerian ducts attempting to form the uterus, cervix, and upper vagina
- it includes anomalies due to failure of fusion of the paired müllerian ducts (as in didelphic and bicornuate uteri) and failure of midline septum resorption after fusion (as in septate uterus)
- disorders due to lateral fusion defects are further subclassified into
- a: symmetric non-obstructive forms seen in five types: unicornuate, bicornuate, didelphic, septate, and DES-related uteri
- b: asymmetric obstructive forms seen in three types: unicornuate uterus with obstructed horn, double uterus with unilaterally obstructed horn, and double uterus with unilaterally obstructed vagina
- class IV: unusual configurations and combinations of defects
Siehe auch:
- Uterus
- Uterus didelphys
- Müllerian duct anomaly classification
- Uterus arcuatus
- Müller-Gang
- Uterus septus
- Uterus bicornis
- Mayer-Rokitansky-Küster-Hauser syndrome
- transverses Vaginalseptum
- Vaginalseptum
- obstruierte Hemivagina und ipsilaterale renale Anomalie (OHVIRA) Syndrom
- Uterus unicornis
- class IV Mullerian duct anomaly
- Müller-Gang-Persistenzsyndrom
- Duplikatur des Uterus
- Uterusagenesie
und weiter:
- Vagina
- cervical incompetence
- Hysterosalpingographie
- velamentous cord insertion
- Müller Gang Embryologie
- Entwicklungsanomalien der Plazenta
- infertility in the exam
- fetal akinesia / hypokinesia sequence
- haematometrocolpos
- MRKH
- MRKHS
- longitudinales Vaginalseptum
- Anomalien des urogenitalen Systems
- primary amenhorrea due to Müllerian duct anomalies
- mullerian duct cyst in an infant
- hydrometrocolpos in a neonate
- vaginal duplication
- persistent Müllerian duct syndrome
- Uterus subseptus
- accessory and cavitated uterine mass
- gynäkologisch radiologisches Curriculum
Assoziationen und Differentialdiagnosen zu Fehlbildungen der Gebärmutter:
obstruierte
Hemivagina und ipsilaterale renale Anomalie (OHVIRA) Syndrom