IMR Press / CEOG / Volume 45 / Issue 3 / DOI: 10.12891/ceog4030.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research
Three-dimensional reconstructed coronal plane in detection and differentiation of congenital uterine malformations
Show Less
1 Department of Gynecology and Obstetrics, Pula County General Hospital, Pula, Croatia
2 University Department of Gynecology and Obstetrics, Zagreb University Hospital Center, Zagreb, Croatia
3 Department of Obstetrics and Gynecology, School of Medicine, University of Zagreb, General Hospital “Sveti Duh”, Zagreb, Croatia
4 Clinic of Gynecology and Obstetrics, Clinical Centre Kragujevac, Faculty of Medical Sciences, University of Kragujevac, Serbia
Clin. Exp. Obstet. Gynecol. 2018, 45(3), 361–366;
Published: 10 June 2018

Background: Congenital uterine malformations develop during early embryogenesis, and their possible impact on female reproduction often represent a diagnostic and therapeutic challenge. In this study, the authors aimed to evaluate the possibility of detection and differentiation of Müllerian uterine anomalies on the basis of coronal plane obtained by three-dimensional transvaginal ultrasonography. Materials and Methods: The authors investigated 310 non-pregnant women who underwent three-dimensional ultrasound (3-D US) examination followed by the reconstructed three-dimensional images in the coronal plane. The patients were divided into two groups: infertile and unselected women. Results: Müllerian duct anomalies were diagnosed in 25 patients (8%). In the group of infertile patients the number of assessed anomalies was higher (16; 14.4%) as compared to the unselected patients (9; 4.6%). The prevalence of uterine anomalies was increased in the group of infertile patients. In the group of infertile patients, the length of uterine cavity was decreased compared to the unselected women (p = 0.0021). This difference was also visible in the case of nulliparous women from both groups (p = 0.0070). On the other hand, the thickness of fundal myometrium and the distance between the two internal tubal ostia did not vary among patients (p > 0.05). Conclusions: 3-D US represents a feasible and accurate technique for the detection and differentiation of congenital uterine malformations. Three-dimensional reconstructed coronal view could be used for the additional measurement of different uterine dimensions which were shown to differ between infertile patients and the control group, and according to the parity.
Uterine anomalies
Female infertility
Three-dimensional imaging
Back to top