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Fusion Defects of Mullerian Ducts
Etiology

Unknown
? abnormal hormonal stimulation in utero
? genetic
Pathogenesis

Failure of fusion of the Mullerian ducts results in bicornuate uterus
Failure of degeneration of the septum may result in septae of varying lengths including septation extending into the upper vagina resulting in a uterus didelphys with double upper vagina, cervix and endometrial cavity,
Epidemiology

Rare
May be associated with urinary tract abnormalities
General Gross Description

External view of didelphys shows bifurcate uterus
•Examples:
Uterus Didelphys (Double uterus) Uterus Didelphys (Double Uterus)
General Microscopic Description

Microscopic appearance unremarkable
•Examples:
References

Blaustein's Pathology of the Female Genital Tract, 4th ed. Kurman RJ (ed). New York: Springer-Verlag, 1994, pp. 368.

For Most Current Information Search Medline at National Library of Medicine
This link will directly take you to the relevant new literature
Fusion Defects of Mullerian Ducts
Synopsis by: Melinda Sanders M.D. (T82000M20000)[311]
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