How to describe a bicornuate uterus on ultrasound
Disease description:
My daughter-in-law is 34 years old this year and has never had a child. An ultrasound examination revealed a bicornuate uterus. I’m not familiar with this condition and would like to learn how a bicornuate uterus is described on ultrasound.
Doctor's answer (1)
Dr. Gao Yulian
Bicornuate uterus is generally diagnosable via ultrasound, with a high degree of ultrasonic accuracy. In the case of a complete bicornuate uterus, ultrasound reveals a concave indentation at the external fundal contour of the uterus, giving rise to two distinct “horns”; the two separate endometrial cavities converge into a single, normal cervix. In contrast, a partial bicornuate uterus appears on ultrasound as separation of the uterine horns above the internal cervical os—i.e., the septum extends only up to, but not beyond, the internal os—while still featuring a single, normal cervix.
