ABSTRACT
Twenty-five patients with high clinical suspicion of uterineanomaly shared in this study. Clinical examination and full history taking proceed the ultrasound examination, transabdominal or if possible transvaginal HSG, if possible, and MRI were done for all patients. Uterine malformation has been confirmed in all cases by surgery and considered the gold standard. anti considered the gold standard [laparoscopy, hystroscopy and/or laparotomy to confirm the suspicion cases. The results revealed that 27 selected patients shared group I [primary amenorrhea group, seven patients; transverse vaginal septum and imperforate hymen were seen in four patients, uterine hypoplasia in two cases and cervical agenesis in one patient. Group II included 20 patients; females complaining mainly from primary sterility after exclusion of male factors. HSG can not differentiate septate from bicornuate uterus in four patients out of 13 and can not detect a rudimentary horn in one case of unicornuate uterus. HSG has a sensitivity reaching 82% for differentiating bicornuate from septate uterus and a specificity 67% and positive predictive value reaching 82% and negative predictive value 67%. Bicornuate uterus and septate uterus represent the majority of group II patients [16 patients, 3 of them with arcuate shared uterus]. In all cases, there was complete correlation between surgical findings and MRI findings. Only one case of group I patients diagnosed by MRI and transabdominal ultrasound as imperforate hymen and transverse vaginal septum diagnosed at surgery