E2561. Congenital Uterine Anomalies: A Practical Approach
  1. Jihyun Kang ; Staten Island University Hospital- Northwell Health
  2. Donald Lee; Staten Island University Hospital- Northwell Health
  3. Richa Sharma ; Staten Island University Hospital- Northwell Health
Congenital uterine anomalies or Mullerian duct anomalies are commonly encountered in obstetric and gynecologic imaging and have a variety of presentations. The spectrum and subtlety of uterine anomalies can make their diagnosis challenging. It is important to properly identify, categorize and report uterine anomalies as incorrect diagnosis may lead to inappropriate patient management. In this exhibit, we review the embryology and pathophysiology of congenital uterine anomalies and provide a practical and structured approach to properly describe relevant findings in the report.

Educational Goals / Teaching Points
We will review the basics of female reproductive tract embryology and how errors in development occur. By the end of this exhibit, the viewers will be able to describe and categorize congenital uterine anomalies with regards to pathophysiology. In addition, we discuss a structured approach to identifying and categorizing uterine anomalies through multi-modality case-based examples.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Accurate radiologic interpretation of developmental anomalies of the uterus requires a good understanding of female reproductive tract embryology and patterns of developmental errors. We review the basics of embryology with an emphasis on when and how specific developmental anomalies occur. We review both illustrative and multi-modality case examples of uterine malformations including unicornuate, bicornuate, septate, didelphys and arcuate uterus, etc. We present a practical and simple approach to congenital uterine anomaly image interpretation.

A practical approach in evaluating and categorizing congenital uterine anomalies is discussed. This exhibit will enable the radiologists to possess a basic understanding of the embryonic development of the female reproductive system, particularly the uterus. Furthermore, the radiologist will be able to report on the typical radiological imaging findings of common uterine anomalies in a structured manner. An accurate diagnosis can better guide clinicians for appropriate medical and surgical management.