Ob/Gyn Lecture 4
Anomalies tend to obliterated on ulltrasound after ___ weeks gestation.
22
Congenital anomalies of the reproductive system are rare, with an incidence of less than ___%.
5
Vaginal ___ is the complete absence of the vagina.
Agenesis
Fallopian tube defects are rare. They include ___, ___ on one side, or ___ of a portion of the tube.
Agenesis, duplication, atresia
A Gartner Duct Cyst will be found in the ___ portion of the ___.
Anterolateral, vagina
___ ___ is the least severe mullerian anomaly, and is not associated with complications.
Arcuate uterus
___ ___ is the mild indentation of the endometrium at the uterine fundus.
Arcuate uterus
Vaginal ___ is a lack of vaginal development.
Atresia
Uterus bicornis ___ occurs when the central myometrium extends to the external os of the cervix.
Bicollis
Failure of Formation can happen in two degrees:
Complete Agenesis or Partial Agenesis
Two uterine anomalies associated with failure of formation:
Complete agenesis or partial agenesis
Class 4
Congenital Anomalies of the Female Reproductive System
___ or ___ images of the uterus are more diagnostic than sagittal, especially in cases of duplication.
Coronal, transverse
___, abbreviated DES, is a drug that was given to mothers to prevent ___.
Diethylstilbestrol, miscarriage
DES caused reproductive tract anomalies in ___ ____.
Female fetuses
The ultrasound appearance of Septate or subseptate uterus will be of a wide separation within the endometrial cavity by ___ tissue or ___.
Fibrous, myometrium
Three causes for Müllerian duct anomalies: Failure of ___, failure of ___, and failure of ___.
Formation, fusion, dissolution (of the uterovaginal septum)
The ultrasound appearance of uterus bicornis is of a ___-shaped uterus, both inside and out, with varying degrees of ___ in the upper ___ cavity.
Heart, fusion, uterine
___ is the retention of blood in the vagina.
Hematocolpos
___ is the retention of blood in the uterus.
Hematometra
___ is the retention of blood in both the uterus and the vagina.
Hematometrocolpos
The ___ ___ of ___ is a type of paraovarian cyst that is predunculated. It is attached to the ___ of the fallopian tube, so it causes infertility.
Hydatid Cyst of Morgagni. Fimbria
___ ___ is the blockage of the vaginal opening by a tough hymen.
Imperforate hymen
Fallopian tube agenesis or atresia will cause ___ and/or increase the risk of ___ ___.
Infertility, ectopic pregnancy
Nearly all uterine anomalies will result in ___, ___ labor, spontaneous ___, and premature ___ of ___.
Infertility, preterm, abortion, rupture of membranes
Absent ovaries are rare, but if one is, the fallopian tube on the ___ side will also be absent.
Ipsilateral
Congenital anomalies of the vagina, uterus, and fallopian tubes are also known as ___ ___ anomalies.
Müllerian Duct
In cases of unicornuate uterus, there is usually ___ fallopian tube(s) present
One
The Müllerian ducts are also known as the ___ ducts.
Paramesonephric
Symptoms of vaginal anomalies include ___ pain, dys-___, dys-___, and delayed onset of ___.
Pelvic, menorrhea, pareunia, menses
Obstruction of the uterus, cervix, or vagina will cause retention of menstrual blood, so symptoms will begin at ___.
Puberty
Paraovarian cysts arise from the ___ ___.
Rosenmuller's Organ
___ ___ has the worst outcome for pregnancy.
Septate uterus
___ ___ is the complete failure of the median septum to disappear, leading to complete duplication of the uterine cavity.
Septate uterus
Three uterine anomalies associated with failure of dissolution:
Septate uterus, subseptate uterus, and arcuate uterus
The ultrasound appearance of unicornuate uterus is of a ___ uterus in a ___ position, usually on the ___ side.
Small, lateral, right
___ ___ is the partial failure of the median septum to disappear, leading to the partial duplication of the uterine cavity.
Subseptate uterus
___ ovaries or ___ ovarian tissue will need to be removed because the tissue has ___ potential.
Supernumerary, accessory, malignant
DES related anomalies are ___-shaped uterus, uterine ___ defects, ___ in the uterus, and a ___ cervix.
T, wall, bands, hooded
Uterus bicornis ___ occurs when the central myometrium extends to the internal os of the cervix.
Unicollis
___ uterus is the most common partial agenesis of the uterus.
Unicornuate
In ___ ___, the uterus develops from a single mullerian duct. The other is ___ or ____.
Unicornuate uterus. absent, underdeveloped
Congenital anomalies occur with anomalies of the ___ system ___% of the time.
Urinary, 50
___ ___ is due to the complete failure of the mullerian ducts to fuse.
Uterus Didelphys
Two uterine anomalies associated with failure of fusion:
Uterus Didelphys, Uterus Bicornis
___ ___ is the most common mullerian duct anomaly.
Uterus bicornis
The ___, ___, and ___ ___ develop from the Müllerian ducts.
Uterus, vagina, and fallopian tubes
___ ___ is the blockage of the vagina by an unregressed septum.
Vaginal septum
A Gartner Duct Cyst is a remnant of the ___ duct system.
Wolffian
Rosenmuller's Organ is a remnant of the ___ Duct found in the ___ ligament near the ovaries and fallopian tubes.
Wolffian, Broad