Bicornuate Uterus
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Upload date: Jun 11, 2026
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Bicornuate Uterus

Two symmetrical horns of a bicornuate uterus, both merging into a single cervix.

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Description

Uterus bicornis is presented with two symmetric uterine horns separated by a deep fundal cleft, each horn forming a distinct endometrial cavity in the superior, lateral portion of the organ. Inferiorly, the horns converge toward a single midline corpus and isthmus, continuing into one cervix uteri positioned centrally and caudally in anatomical orientation. The paired cornua occupy the superolateral contours where the uterotubal junctions would be expected, while the cervical canal sits inferior to the merged uterine body. Symmetry is the visual theme. This configuration reflects incomplete fusion of the paramesonephric (Müllerian) ducts and carries recognizable obstetric associations: first and second trimester pregnancy loss, preterm delivery, malpresentation (breech or transverse lie), and focal implantation that can distort placentation within one horn. The fixed anterior-facing layout makes it easier to distinguish a bicornuate uterus from a septate uterus, since the external fundal indentation and the divergence of the cavities are emphasized, a distinction that changes management when hysteroscopic septum resection is being considered versus abdominal or laparoscopic Strassman metroplasty. Expect users to pair this anatomy with hysterosalpingography, 3D transvaginal ultrasound, or MRI discussions when teaching classification of Müllerian anomalies. Ideal for obstetrics and gynecology lectures on congenital uterine malformations, reproductive endocrinology modules addressing infertility workups, and radiology teaching files that contrast arcuate, septate, didelphys, and bicornuate variants in a single figure set. Also well suited for patient-facing counseling materials in early pregnancy clinics when explaining why uterine shape can affect fetal position and pregnancy surveillance. Anatomical accuracy verified by SciePro's Medical Advisory Board.

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