The Role of Sonography in the Case of Congenital Uterine Abnormality: Potential for an Improved Pregnancy Outcome

Abstract

Three-dimensional (3D) sonography is a valuable imaging technique to evaluate the uterus and distinguish the different types of congenital uterine abnormalities. The provided case series demonstrates the unique diagnostic patient findings of a bicornuate uterus and an incompetent cervix. The patient presented over a series of multiple pregnancies that used cervical cerclage, to achieve an improved maternal-fetal outcome. In this patient, her uterine anomaly was diagnosed prior to pregnancy. During each gestation, close diagnostic attention was paid to the shape of the uterus, the location of the gestational, and the cervical length, by using transvaginal sonography. This imaging surveillance played an important diagnostic role in providing a better patient outcome for the patient’s multiple pregnancies. Continued research into the use of 3D sonography, for this specific diagnostic application, is needed to accelerate its use in determining the specific location of gestational sac(s).