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