Magnetic resonance imaging of Müllerian anomalies in girls: concepts and controversies

Pediatr Radiol. 2022 Feb;52(2):200-216. doi: 10.1007/s00247-021-05089-6. Epub 2021 Jun 21.

Abstract

Female Müllerian anomalies are the result of failure of formation, fusion or resorption of the Müllerian ducts and are relatively common, with a prevalence of 5.5-7.0% in the general population. While some of these anomalies are asymptomatic, those presenting with obstruction require accurate identification for optimal clinical management including potential surgical treatment. MRI is a useful adjunct to sonography in the evaluation of Müllerian anomalies, typically allowing a more complete characterization of the malformation. Technical aspects, embryologic concepts and controversies regarding classification systems are highlighted in this review. Several Müllerian anomalies are discussed and illustrated in more detail utilizing various cases with pelvic MRI studies.

Keywords: Children; Congenital; Magnetic resonance imaging; Müllerian anomalies; Ultrasound; Uterus; Vagina.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Mullerian Ducts / diagnostic imaging
  • Ultrasonography
  • Uterus* / diagnostic imaging
  • Vagina* / diagnostic imaging