EURORAD ESR

Case 2309

Primary amenhorrea due to Müllerian duct anomalies

Author(s)
Giusti Sabina, Zampa Virna, Fruzzetti Elena, Bartolozzi Carlo
 
Patient
female, 15 year(s)
 
 
  • Figure 1
    US
     

    Transverse US image shows the presence of a mass (*) located posterior to the urinary bladder (B), with disomoegenous liquid content

     

    US transverse image shows the mass (*) located posterior to the urinary bladder (B) and allows to visualize the uterus with two endometrial cavities uniformly separated (U).

     
     
     
  • Figure 2
    MRI: Sagittal T1wi
     

    The sagittal acquisition confirm the presence of a liquid filled formation whose content has signal characteristics of blood (*); these images allow to identify the finding as a hematocolpos in a blind left and...

     

    The sagittal acquisition shows the hematocolpos in a blind left and dilated hemivagina (*) in a different plane. B= bladder.

     
     
     
  • Figure 3
    MRI: axial T1wi.

    Axial T1wi MR imaging shows the hemotocolpos (*) in left hemivagina (L); the right hemivagina is compressed (R).

     
     
     
  • Figure 4
    MRI: coronal T1wi.
     

    The coronal acquisition allows to visualize the hematocolpos (*) and the didelphic uterus with complete separation of uterine horns (arrow).

     

    In this different plane the arrow indicates also the presence of the two different cervices. Hematocolpos (*) is always well appreciable.

     
     
     
Transverse US image shows the presence of a mass (*) located posterior to the urinary bladder (B), with disomoegenous liquid content
 
US transverse image shows the mass (*) located posterior to the urinary bladder (B) and allows to visualize the uterus with two endometrial cavities uniformly separated (U).
 
The sagittal acquisition confirm the presence of a liquid filled formation whose content has signal characteristics of blood (*); these images allow to identify the finding as a hematocolpos in a blind left and dilated hemivagina (*). B= bladder.
 
The sagittal acquisition shows the hematocolpos in a blind left and dilated hemivagina (*) in a different plane. B= bladder.
 
Axial T1wi MR imaging shows the hemotocolpos (*) in left hemivagina (L); the right hemivagina is compressed (R).
 
The coronal acquisition allows to visualize the hematocolpos (*) and the didelphic uterus with complete separation of uterine horns (arrow).
 
In this different plane the arrow indicates also the presence of the two different cervices. Hematocolpos (*) is always well appreciable.
 
 
 
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