Magnetic resonance imaging visualization of a vaginal septum

2010

Romanian Medical Journal

Female genital malformations mostly affect women`s reproductive health. Vaginal septa are rare conditions that occur secondary to defectuous fusion or canalization of the Mullerian ducts. There are longitudinal and transverse septa. Transverse septa can be found in the upper, middle or lower vagina and the main symptom is primary amenorrhea in the presence of cyclic pelvic pain. Imaging discoveries can reveal urological, anorectal and uterine abnormalities that accompany the vaginal abnormalities.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2017

The transverse vaginal septum is a rare form of Mullerian duct anomaly, and is a disorder of vertical fusion of Mullerian system with the sinovaginal bulb. Magnetic resonance imaging (MRI)is very useful in the detection, classification and management planning of this rare anomaly. We present two cases of transverse vaginal septum in two patients of different age groups and with different clinical presentations. The findings on MRI, related to presence of vaginal septum and the management work-up, are also discussed.

Radiologia Brasileira, 2015

Magnetic resonance imaging is a method with high contrast resolution widely used in the assessment of pelvic gynecological diseases. However, the potential of such method to diagnose vaginal lesions is still underestimated, probably due to the scarce literature approaching the theme, the poor familiarity of radiologists with vaginal diseases, some of them relatively rare, and to the many peculiarities involved in the assessment of the vagina. Thus, the authors illustrate the role of magnetic resonance imaging in the evaluation of vaginal diseases and the main relevant findings to be considered in the clinical decision making process.

The Egyptian Journal of Radiology and Nuclear Medicine, 2013

Objective: To evaluate the role 3D TVUS and MRI in diagnosing the nature of uterine septum according to the reproductive performance with histopathological examination as the reference standard. Patients and methods: The study included 36 patients in the reproductive age presented with infertility or recurrent pregnancy loss, and diagnosed hysteroscopically with double uterine cavity. All patients were subjected to 3D TVUS. Cases in which the diagnosis of septate uterus was not confirmed by 3DUS were excluded from the study. The remaining 29 patients confirmed to have uterine septum partial or complete were included. 3D TVUS with VOCAL, was applied in order to calculate the volume of the septum, echostructure and its vascularity index (VI). The patients were then referred to MRI examination, patients were referred to operative hysteroscopy for hysteroscopic metroplasty. Sample of septal tissue was obtained and sent for histopathological examination. Results: The Vascularity index (VI) of the muscular septum (16.63 ± 5.7%) was significantly higher than the fibrous septum (3.6 ± 1.17%). The sensitivity, specificity, PPV, and NPV in diagnosing septate uterus were 100%, 90 %, 95%, and 100% for 3D TVUS, and 95%, 80%, 90%, and 89% for MRI respectively. Conclusion: 3D TVUS is an accurate, less expensive, and a rapid examination than MRI in diagnosing uterine septa structure, it can be considered as the reference standard in diagnosing and characterizing septate uterus.

Journal of Clinical Case Reports, 2013

International Journal of Advanced Research (IJAR), 2019

Vaginal atresia can be defined as an anomaly that occurs when the lower part of vagina fails to develop normally. This congenital anomaly embodies itself as an incomplete canalization of Mullerien ducts. The defect in question usually uncovers itself thanks to a mass or pain in the lower abdominal region which is in turn a result of retention in certain genital structures or disorder of menstrual blood. As an instance, a 15 years old patient at IbnSina hospital experienced a lower abdominal pain with presence of correct secondary sexual characteristics. Ultrasound and magnetic resonance imaging are used to scrutinize the case.

Pediatric Radiology, 1999

The Egyptian Journal of Radiology and Nuclear Medicine, 2014

Objective: To estimate the accuracy of 3-dimensional transvaginal ultrasonography (3D-TVUS), hysterosalpingography (HSG) and pelvic magnetic resonance imaging (MRI) in the differentiation between septate and bicornuate uterus. Patients and methods: Thirty-six patients with suspected septate or bicornuate uterus on 2D ultrasound or hysterosalpingography (HSG) underwent 3D-TVUS examination, MR imaging, diagnostic laparoscopy and hysteroscopy. HSG was performed only for those patients who did not undergo the procedure before (21 patients), we retrospectively revised the hysterosalpingography of 15 patients performed outside our hospital with acceptable quality. Results: HSG showed sensitivity of 77.4%, specificity of 60% and overall accuracy of 75% in the differentiation between the septate and bicornuate uterus. MRI showed sensitivity of 93.5%, specificity of 80%, PPV of 96.6% and negative predicative value of 66.6%, with overall accuracy of 91.6%. The 3D ultrasound showed the highest diagnostic parameters, with sensitivity of 96.7%, specificity of 100%, PPV of 100% and negative predicative value of 83.3%, with overall accuracy of 97.2%. Conclusions: Transvaginal 3-D ultrasonography is accurate for diagnosis and differentiation between septate uterus and bicornuate uterus. We recommend 3-D transvaginal ultrasonography as the first and only mandatory step in the assessment of the uterine cavity in patients with a