title: Ultrasonography in the differential diagnosis of "double" uteri.
abstract: A total of 43 infertile patients with hysterosalpingographic diagnosis of bifid uterus underwent sonography and subsequent laparoscopy/hysteroscopy to evaluate the capacity of ultrasound to demonstrate the peritoneal profile of the malformed uteri correctly. Sonographic visualization was adequate in 39 cases (90.7%) and the following were identified correctly: 1 of 2 didelphic uteri, all of 11 bicornuate uteri, all of 4 complete septate uteri, and all of 22 partial septate uteri. The sensitivity of ultrasound in detecting the presence of a perimetrial fundal notch was 92.3% and its specificity 100%. Thus, a precise differential diagnosis of "double" uteri was possible with this technique, which may in some clinical situations provide an alternative to laparoscopy.
authors.affiliation: 1st Department of Obstetrics and Gynecology, University of Milan, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Fedele
authors.forename: E
authors.initials: E
authors.lastname: Ferrazzi
authors.forename: M
authors.initials: M
authors.lastname: Dorta
authors.forename: P
authors.initials: P
authors.lastname: Vercellini
authors.forename: G B
authors.initials: GB
authors.lastname: Candiani
mesh_terms: D004724:Endoscopy; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D007247:Infertility, Female / Q000209:etiology / Q000473:pathology; D014463:Ultrasonography; D014599:Uterus / Q000002:abnormalities* / Q000473:pathology