<scp>ASRM</scp> Müllerian Anomalies Classification 2021: a critical review

Ludwin, Artur; Tudorache, Ş.; Martins, Wellington P.

doi:10.1002/uog.24905

Cited by 11 publications

(5 citation statements)

References 59 publications

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“…For the evaluation of Müllerian anomalies in all major classification systems, the coronal view is the standard plane. When compared to laparoscopy with hysteroscopy, 3D ultrasound has demonstrated great accuracy (>90%) and strong inter-rater reliability [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

An Uncommon Encounter: Obstetric Management of a Bicornuate Bicollis Uterus With a Longitudinal Vaginal Septum

Moharana,

Choudhary,

Yadav

et al. 2024

Cureus

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This case report describes a rare presentation of a bicornuate bicollis uterus with a longitudinal vaginal septum in a 25-year-old woman presenting with a ruptured ectopic pregnancy. The patient's obstetric history revealed a previous cesarean section due to oligohydramnios. The diagnosis was confirmed through intraoperative assessment and MRI findings. Despite successful management of the ectopic pregnancy, the case underscores the importance of early detection and tailored management of Mullerian anomalies to optimize pregnancy outcomes. This report highlights the need for continued research to improve diagnostic accuracy and therapeutic approaches for such complex anatomical variations.

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Section: Discussionmentioning

confidence: 99%

An Uncommon Encounter: Obstetric Management of a Bicornuate Bicollis Uterus With a Longitudinal Vaginal Septum

Moharana,

Choudhary,

Yadav

et al. 2024

Cureus

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“…The American Society for Reproductive Medicine published a modified classification for more accurate diagnosis in 2021. According to this classification, MRKHS was classified as Müllerian agenesis [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Huge Leiomyomas Arising from Bilateral Uterine Remnants in a Mayer–Rokitansky-Küster-Hauser Syndrome Patient with Coexisting Myotonic Dystrophy Type 1: A Case Report and Literature Review

Azuma,

Yamamoto,

Matsumoto

et al. 2023

Case Reports in Obstetrics and Gynecology

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Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) is a rare congenital anomaly of the genital tract. Since the secretion of sex hormones from the ovaries is preserved, leiomyomas and adenomyomas, which are estrogen-dependent diseases, may develop from the uterine remnant. In contrast, patients with myotonic dystrophy type 1 (DM1), the most common dystrophy in adults, are considered to be at high risk for benign tumors of the female reproductive system, such as uterine leiomyomas and ovarian cysts. A rare case of huge leiomyomas arising from bilateral uterine remnants in a woman with MRKHS with coexisting DM1 is presented. Her chief complaint was abdominal distension. On pelvic magnetic resonance imaging (MRI), two solid pelvic masses showing low signal intensity on T2-weighted imaging were seen. Both the uterine corpus and cervix were unclear, but bilateral ovaries were observed normally on MRI. Two uterine leiomyoma-like masses connected by a band of fibrous tissue were found by laparotomy. As with the MRI findings, the uterine cervix and vagina could not be detected macroscopically. Normal bilateral adnexa and round ligaments were identified. All of her symptoms improved after hysterectomy.

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“… 2 Lastly, the new ASRM‑2021 classification focuses only on morphological abnormalities, while ignoring the theory of embryogenesis of the urogenital system and its role in diagnosing malformation. 3 Is the MRI diagnosis process universally adopted? As indicated, for effective multidisciplinary communication, the radiology department’s classification system should agree with gynecologists and surgeons.…”

Section: Dear Editormentioning

confidence: 99%

“…2 Lastly, the new ASRM-2021 classification focuses only on morphological abnormalities, while ignoring the theory of embryogenesis of the urogenital system and its role in diagnosing malformation. 3 2. Is the MRI diagnosis process universally adopted?…”

Section: Dear Editormentioning

confidence: 99%