11.07.2015 Views

MRI for the diagnosis of uterine anomalies - eshre

MRI for the diagnosis of uterine anomalies - eshre

MRI for the diagnosis of uterine anomalies - eshre

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Class I: Segmental Agenesis or HypoplasiaAgenesis <strong>of</strong> <strong>the</strong> distal one third <strong>of</strong> <strong>the</strong> vagina is due to <strong>the</strong>failure <strong>of</strong> <strong>the</strong> urogenital sinus to develop.In adolescence, patients present with amenorrhea and anenlarged uterus.The differential <strong>diagnosis</strong> is an imper<strong>for</strong>ate hymen.Axial images are best <strong>for</strong> revealing <strong>the</strong> absence <strong>of</strong> <strong>the</strong> vagina.The uterus is usually markedly dilated and filled with blood thatshows high signal intensity on T1-weighted and T2-weightedimages.Surgery to create a neovagina is <strong>of</strong>ten perfomed.

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