REVIEW  INFERTILITY AND PREGNANCY OUTCOME 

Minerva Obstetrics and Gynecology 2022 February;74(1):12-23

DOI: 10.23736/S2724-606X.20.04723-1

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Diagnostic accuracy of hysteroscopy, ultrasound and magnetic resonance imaging in detecting congenital uterine anomalies

Luis ALONSO ¹ ✉, Jose CARUGNO ², Luigi NAPPI ³

¹ Unit of Hysteroscopy, Gutenberg Center, Malaga, Spain; ² Division of Minimally Invasive Gynecology, Department of Obstetrics, Gynecology and Reproductive Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA; ³ Unit of Obstetrics and Gynaecology, Department of Surgical Sciences, University of Foggia, Foggia, Italy

Congenital uterine malformations occur as a result of a defective uterine development. The formation of the uterus is a dynamic process that culminates after completing four phases (differentiation, fusion, migration and canalization). Because is an evolutionary process, the resulting uterine malformation is different depending on the uterine formation phase in which the failure occurs. To establish a correct diagnosis of uterine malformations, it is necessary to evaluate both the shape of the uterine cavity and the external contour of the uterus. In this review we will describe the imaging modalities used in current clinical practice for the evaluation of the patient with suspected congenital uterine anomalies. The current role of each modality is described.

KEY WORDS: Uterine anomalies, congenital; Imaging, three-dimensional; Ultrasonography; Hysteroscopy