Lesson 4 (Part 1)

Question 1

What are 3 congenital anomalies of the uterus?

Answer 1

1. Arrested development
2. Failure of fusion
3. Failure of resorption

Question 2

What are 2 examples of arrested development?

Answer 2

1. Bilateral
   - rare, uterus fails to develop or hypoplastic
2. Unicornuate unicollis
   - Small uterus, one horn and one cervix

Question 3

What are the 4 different types of unicornuate uterus?

Answer 3

1. One tube
2. One tube with just the main canal
3. Has a connecting endometrium but in the wrong location
4. No communicative

Question 4

What fails to fuse in the congenital uterine anomaly?

Answer 4

The mullarian ducts

Question 5

What is a result of the mullarian ducts failing to fuse? (3)

Answer 5

1. Bicornuate unicollis
2. Bicornuate bicollis
3. Didelphsys

Question 6

Bicornuate unicollis

Answer 6

Is a division of the uterus above the os

- still one uterus

Question 7

Bicornuate bicollis

Answer 7

Is a division of the uterines os

- still one uterus

Question 8

Didelphsys

Answer 8

Two separate uterus and cervix

- sometimes results in two separate vagina’s

Question 9

What uterine anomaly is more common than didelphys?

Answer 9

Bicornuate

Question 10

What shape is the bicornuate uterus?

Answer 10

Heart shaped

Question 11

Can you still get pregnant with a bicornuate anomaly?

Answer 11

Yes

Question 12

What happens if you become pregnant with a bicornuate uterus? (2)

Answer 12

1. Growth restrictions result in preterm delivery
2. Caesarean section
   - C section

Question 13

What can happen with diselphys in terms of pregnancy? (2)

Answer 13

1. Can become pregnant
   - rare
2. Can have fertility issues

Question 14

What fails to get resorbed in the congenital uterine anomaly?

Answer 14

The median septum

Question 15

Arcuate

Answer 15

Slight dip

Question 16

What is failure to reabsorb anomaly assocaited with? (2)

Answer 16

1. Spontaneous abortions

2. Fertility issues

Question 17

What is the most common mullerian duct anomaly?

Answer 17

Septate uterus

Question 18

How do we tell if there is an anomaly with 2D U/S?

Answer 18

We should see the endometrium dividing when scanning transversely through the uterus

• how far apart are the endometriums
• any irregular contours of the uterus

Question 19

What is a reason for a miscarriage?

Answer 19

Failure of resorption

Question 20

What is the treatment for the failure of resorption?

Answer 20

Hysteroscope laser of the septum

- non invasive procedure

Question 21

What do you plan for when you have a failure of fusion?

Answer 21

An early pregnancy

Question 22

How do you fix failure of fusion?

Answer 22

More invasive corrective surgery

- abdominal surgery

Question 23

When would be the optimum time in a women’s menstrual cycle to scan a for a suspected uterine congenital anomaly?

Answer 23

Secretory because its at the biggest stage so we can see the most

Question 24

Collis

Answer 24

Cervix

Question 25

Cornuate

Answer 25

Cornea

Question 26

What is a medium septum suppose to do?

Answer 26

Absorb and go away

Question 27

DES

Answer 27

Diethylstilbestrol

Question 28

What is not considered a congenital cause?

Answer 28

Diethylstilbestrol

Question 29

What is diethylstilbestrol associated with?

Answer 29

Uterine anomalies

Question 30

What does DES show on US? (2)

Answer 30

1. Diffuse decrease in uterine size

2. Irregular T-shaped uterine cavity