Transcript POSTER ABSTRACT - Stanley Radiology

POSTER ABSTRACT
IRIA 2014
TITLE
CASE SERIES IN CONGENITAL UTERO-VAGINAL
ANOMALIES
AUTHOR
• Authors- Dr.V.Vadanika. Under the guidance of Prof
and HOD Dr.K.C.Saravanan ; Prof Dr.S.Vinayagam ;
Asso.Prof Dr.B.Karpagam.
• SRM MEDICAL COLLEGE AND RESEARCH
INSTITUTE,SRM
CAMPUS,KATTANKULATHUR,CHENNAI603203.
• INTRODUCTION• Embryologically uterus, fallopian tube and upper one
third of vagina develop from mullerian duct and
lower two third of vagina develops from sino-vaginal
bulb. Utero-vaginal anomalies(UVAs) are caused by
alterations in development or fusion of the müllerian
ducts. UVAs are classified into four types(according
to Modified Rock and Adam -AFS classification):
class I - Dysgenesis, class II - Vertical fusion defects,
class III - Lateral fusion defects and class IV Unusual configurations. Systematic analysis in
imaging allows accurate morphologic demonstration
and classification of uterovaginal anomalies with
associated pelvic lesions or renal anomalies.
• MATERIALS AND METHOD- Patients suspected of
having UVA are often initially referred for pelvic
ultrasonography (USG) which has a very limited role.
Magnetic resonance (MR) imaging is an excellent
tool for studying the external uterine fundal contour
and morphology which is the key component of UVA
characterization as compared to
hysterosalpingography (HSG) which is routinely used
in evaluation of infertility.
• RESULTS-We encountered a variety of UVAs in our
institution in the current year - septate uterus, arcuate
uterus, bicornuate uterus, vaginal septum, prolapsed
posterior vaginal wall cyst, and the most rare uterus
didelphys left hematocolpos with ipsilateral renal
agenesis (Herlyn-Werner-Wunderlich (HWW)
syndrome).
• CONCLUSION- UVAs are a broad and complex
spectrum of abnormalities that are often associated
with primary amenorrhea, infertility, obstetric
complications and endometriosis. Imaging plays a
pivotal role in detecting and there by aiding the
management.