1例单角子宫表现为正常的子宫外部形态:罕见的解剖学变异

• 作 者: Engmann L. 张剑萍
• 出 处: 世界核心医学期刊文摘(妇产科学分册)
• 发表日期: 2005年03期
• 关键词: 单角子宫 解剖学 输卵管梗阻 外部 变异 不孕症 单侧输卵管 左侧输卵管 子宫输卵管造影 发育异常

To describe a case of a unicornuate uterus with a normal external uterine morphology. Case report. University based fertility center. A 30- year- old nulligravid woman with a 1- year history of infertility found to have a right proximal tubal occlusion on hysterosalpingogram. Laparoscopy, hysteroscopy, and magnetic resonance imaging. External and internal morphology of the uterus. Laparoscopy showed a normal external uterine morphology and normal fallopian tubes and ovaries, but chromopertubation failed to demonstrate a fill and spill from the right fallopian tube. Hysteroscopy showed a single tubular uterine cavity projecting to the left with a single left tubal ostium, consistent with a unicornuate uterus. Magnetic resonance imaging confirmed a normal external uterine fundal contour and an internal uterine morphology consistent with a unicornuate uterus. This is the first reported case of a unicornuate uterus presenting with a normal external uterine morphology and an internal morphology consistent with a unicornuate uterus, and we propose inclusion of this anomaly in the classification of m¨ ullerian anomalies.

Case report. University based fertility center. A 30-year-old nulligravid woman with a 1-year history of infertility found to have a right proximal tubal occlusion on hysterosalpingogram. Laparoscopy, hysteroscopy, and magnetic resonance imaging. External and internal morphology of the uterus. Laparoscopy showed a normal external uterine morphology and normal fallopian tubes and ovaries, but chromopertubation failed to demonstrate a fill and spill from the right fallopian tube. Hysteroscopy showed a single tubular uterine cavity projecting to the left with a single left tubal ostium, consistent with a unicornuate uterus. Magnetic resonance imaging confirmed a normal external uterine fundal contour and an internal uterine morphology consistent with a unicornuate uterus. This is the first reported case of a unicornuate uterus presenting with a normal external uterine morphology and an internal morp hology consistent with a unicornuate uterus, and we propos inclusion of this anomaly in the classification of m¨ ullerian anomalies.