1
Q
Mechanism?
A
Failure of paranephric ducts to completely fuse
(Bicornate uterus - note dipped-in outer contour)
2
Q
What caused this?
A
Upper UTI with a urea-spliting bacteria, i.e. Staph, Proteus, Pseudomonas, Klebsiella, Mycoplasma
(This is a staghorn calculus, aka struvite calculus, a complication of upper UTIs)
3
Q
Dx?
A
Arcuate uterus
(Notice fundus is enlarged but otherwise structurally normal)
4
Q
Pathogenesis?
A
Failure of medial walls of caudal portion of Mullerian ducts to resorb
(Septate uterus - notice normal outer contour distinguishes this dx from bicornate uterus)
5
Q
Treatment?
A
Usually none if asymptomatic, which most are
(Multiple, white, whorled masses in ovary = leiomyoma)
6
Q
A
Repro Images + Micro
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