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ECR 2018 / C-1837
To determine the accuracy of 2D and 3D Ultrasonography (USG) in the diagnosis of uterine septal anomalies.
Congress: ECR 2018
Poster No.: C-1837
Type: Scientific Exhibit
Keywords: Diagnostic procedure, Endoscopy, Ultrasound-Colour Doppler, Ultrasound, Pelvis, Obstetrics (Pregnancy / birth / postnatal period), Genital / Reproductive system female, Congenital, Obstetrics
Authors: R. H. Sawant1, A. Sawant2, T. Vu2, S. Borale3, M. Manmohan2; 1Navi Mumbai, Maharashtra/IN, 2Navi Mumbai/IN, 3Navi-Mumbai, Nerul/IN
DOI:10.1594/ecr2018/C-1837

Results

Of the 50 patients included, 2D USG revealed 33 cases with a septate uterus (28 with incomplete and 5 with complete septa) whereas 3D USG diagnosed 30 cases to have a uterine septum (25 with incomplete and 5 with complete). Hysteroscopy confirmed the diagnosis in 28 patients. Thus, though both the techniques resulted in 100% sensitivity, 3D USG demonstrated a higher specificity (90.90%) relative to the 77.27% of 2D USG.

Endometrial adhesions (6), polyps (2) and normal morphologies (9) were diagnosed with equal accuracy in the rest of the patients which corroborated with hysteroscopy.  

Septate uterus is associated with poorest reproductive outcomes, and high incidence of abortion and miscarriage and now surgical interference is the preferred method for intervention [5,6] . On the other hand, surgical intervention is not indicated for subseptate uterus, which makes the differentiation between the two entities highly important.

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