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Nonisthmic communicating uteri. Report of 3 new types in a new subclass of communicating uteri
Anna S Lev-Toaff1, Michael E Toaff, Mohammad T Meamarzadeh
1Department of Radiology, Thomas Jefferson University Hospital, 111 South 11th Street, 3390 Gibbon, Philadelphia, PA 19107, USA. anna.levtoaff@mail.tju.edu
Objective:
To describe 3 new malformations and propose a new subclass of malformations, nonisthmic communicating uteri.
Study Design:
Review of 17,511 hysterosalpingograms revealed 19 cases of communicating uteri. Three cases were identified that showed nonisthmic communications, previously unreported.
Results:
The 3 new types of communicating uteri were (1) bicornuate uterus with 2 sites of communication, midcervical and isthmic; (2) septate uterus with a midcorporeal communication; and (3) bicornuate uterus with a low cervical communication and atretic hemicervix.
Conclusion:
The 3 new types of nonisthmic communicating uteri constitute a new subclass of communicating uteri. We are aware of only 1 other reported type of nonisthmic communicating uteri. Nonisthmic communications may arise from a different mechanism than isthmic communications.
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