Walid Reslan MD, Abstract Co-Author: Nothing to Disclose

Vijay Moorjani MD, Presenter: Nothing to Disclose

Philipa Brain MD, Abstract Co-Author: Nothing to Disclose

Kamal Singh Sahi BSc, Abstract Co-Author: Nothing to Disclose

Mullerian duct anomalies are an uncommon but often treatable cause of infertility. Patients with mullerian duct anomalies are known to have a higher incidence of infertility , repeated first trimester spontaneous abortions, fetal intrauterine growth retardation, fetal malposition, preterm labor, and retained placenta. An understanding of the differences between these uterovaginal anomalies, as outlined in the most widely accepted classification system—that published by the American Fertility Society (AFS) in 1988 is imperative given the respective clinical manifestations, different treatment regimens, and prognosis for fetal salvage. Although the AFS classification system serves as a framework for description of anomalies, there often is confusion about appropriate reporting of certain anomalies, particularly those with features of more than one class. The role of imaging is to help, detect, diagnose and distinguish surgically correctable forms of mullerian duct anomalies from inoperable forms. In most of the correctable forms the surgical approach is dependant on the imaging findings. Many of the anomalies are initially suspected by ultrasonography and diagnosed by hysterosalpingography. However in the pediatric patients there is always concern about the hazards of radiation. MRI is currently the imaging modality of choice because of its accuracy and detailed elaboration of uterovaginal anatomy. MRI can also indicate in whom interventional therapy may be needed necessitating further evaluation with laprascopy and hysteroscopy. In this poster we will present the MRI appearances of a wide range of mullerian duct anomalies which we came across at the Alberta Childrens hospital.

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In this poster we will present the MRI appearances of a wide range of mullerian duct anomalies which we came across at the Alberta Childrens hospital.

MRI is currently the imaging modality of choice because of its accuracy and detailed elaboration of uterovaginal anatomy. MRI can also indicate in whom interventional therapy may be needed necessitating further evaluation with laprascopy and hysteroscopy.

Reslan, W, Moorjani, V, Brain, P, Sahi, K, MR Imaging in Mullerian Duct Abnormalities.  Radiological Society of North America 2007 Scientific Assembly and Annual Meeting, November 25 - November 30, 2007 ,Chicago IL. http://archive.rsna.org/2007/5009899.html