Ultrasonography in the differential diagnosis of "double" uteri.
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.
Fedele
L
L
1st Department of Obstetrics and Gynecology, University of Milan, Italy.
Ferrazzi
E
E
Dorta
M
M
Vercellini
P
P
Candiani
G B
GB
D004724:Endoscopy; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D007247:Infertility, Female / Q000209:etiology / Q000473:pathology; D014463:Ultrasonography; D014599:Uterus / Q000002:abnormalities* / Q000473:pathology