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Endovaginal Sonographic Associated Features of a T-Shaped Uterus Due to In Utero Exposure to Diethyistilbestrol (DES)

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, The Perinatal Ultrasound Laboratory, Box 668, Strong Memorial Hospital, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Rochester, NY 14642.

Tamara A. Allen, BS, RDMS

James R. Woods, Jr., MD

Department of Obstetrics and Gynecology, the Division of Maternal-Fetal Medicine and the Perinatal Ultrasound Laboratory, Strong Memorial Hospital, University of Rochester School of Medicine and Dentistry, Rochester, New York.

In utero exposure to diethylstilbestrol (DES), a synthetic estrogen, affects structures arising in the mullerian duct system of female fetuses. Transabdominal sonography has been found to be a nonionizing, noninvasive alternative to hysterosalpingography in diagnosing these congenital abnormalities. Endovaginal sonography has shown enhanced resolution of the female pelvic organs. The endovaginal features of a T-shaped uterus due to in utero DES exposure are presented in a woman with infertility.

Key Words: Endovaginal ultrasound • diethylstilbestrol • T-shaped uterus

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