Smolders D, Deckers F, Pouillon M, Vanderheyden T, Vanderheyden J, De Schepper A
Department of Radiology, St. Augustinus Hospital, 24 Oosterveldlaan, 2610 Wilrijk-Antwerpen, Belgium.
Eur Radiol. 2002 Jan;12(1):121-4. doi: 10.1007/s003300100939. Epub 2001 Jun 22.
We report the MRI features of two cases of unicornuate uterus and occluded rudimentary horn. In one patient pregnancy had occurred in the occluded horn, prompting to urgent resection. The second patient illustrates more conventional findings in occluded rudimentary horn. In both cases MRI was able to correctly characterise the nature of the developmental anomaly. Furthermore, on the basis of signal intensities, differentiation between distended lumen due to blood accumulation and amniotic sac in the case of pregnancy could be made. Because of its high accuracy in determining the type of anomaly present, the lack of ionizing radiation, and the ability to evaluate, with the exception of the fallopian tubes, the entire genitourinary tract, MR imaging is essential and plays a key role in the evaluation of women who are consulting for infertility.
我们报告了两例单角子宫合并残角子宫闭锁的MRI特征。其中一例患者残角子宫发生妊娠，促使进行紧急切除。第二例患者展示了残角子宫闭锁更常见的表现。在这两例中，MRI都能够正确地描述发育异常的性质。此外，根据信号强度，在妊娠情况下可以区分因血液积聚导致的管腔扩张和羊膜囊。由于MRI在确定现有异常类型方面具有很高的准确性，无电离辐射，并且除输卵管外能够评估整个泌尿生殖道，因此MRI对于咨询不孕症的女性评估至关重要且起着关键作用。
