{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:46:38Z","timestamp":1791812798657,"version":"4.3.4"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>M\u00fcllerian duct anomalies are congenital uterine malformations that may present with pelvic pain, menstrual irregularities, or infertility. However, acquired intrauterine pathologies can occasionally mimic congenital anomalies on imaging, leading to diagnostic confusion. We report a rare case of a 24-year-old woman presenting with chronic pelvic pain and 3 months of amenorrhea, in whom pelvic magnetic resonance imaging (MRI) suggested a M\u00fcllerian duct anomaly with abnormal uterine vascularity. Notably, MRI demonstrated a hypointense septum-like structure within the uterine cavity, associated with fundal T2 hyperintense lesion and serpentine myometrial flow voids. Contrary to radiological findings, intraoperative diagnostic hysteroscopy revealed cervical adhesions and chronic retained products of conception (RPOC) with fundal intrauterine adhesions, without evidence of any M\u00fcllerian duct anomaly. Adhesiolysis and removal of retained tissue restored near-normal uterine cavity anatomy. This case highlights the potential for chronic RPOC to masquerade as congenital uterine anomalies on MRI and emphasizes hysteroscopy as the definitive diagnostic and therapeutic modality when imaging findings are inconclusive or discordant with clinical presentation.<\/jats:p>","DOI":"10.4103\/aam.aam_26_26","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T13:12:55Z","timestamp":1787577175000},"page":"S559-S562","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Chronic Retained Products of Conception Masked by M\u00fcllerian Duct Anomaly: The Diagnostic Value of Hysteroscopy"],"prefix":"10.4103","volume":"25","author":[{"given":"Prashant","family":"Suryarao","sequence":"first","affiliation":[{"name":"Department of OBG, Dr. D. Y. Patil Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Komal","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Department of OBG, Dr. D. Y. Patil Medical College, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"R1-20261012","doi-asserted-by":"crossref","first-page":"2579","DOI":"10.2147\/JMDH.S386936","article-title":"MRI evaluation of Mullerian duct anomalies: Practical classification by the new ASRM system","volume":"15","author":"Al Najar","year":"2022","journal-title":"J Multidiscip Healthc"},{"key":"R2-20261012","doi-asserted-by":"crossref","first-page":"E233","DOI":"10.1148\/rg.326125515","article-title":"Imaging of M\u00fcllerian duct anomalies","volume":"32","author":"Behr","year":"2012","journal-title":"Radiographics"},{"key":"R3-20261012","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.tjog.2020.01.003","article-title":"Diagnosis and treatment of M\u00fcllerian malformations","volume":"59","author":"Passos","year":"2020","journal-title":"Taiwan J Obstet Gynecol"},{"key":"R4-20261012","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.jmig.2017.09.020","article-title":"Hysteroscopic management of Asherman's syndrome","volume":"25","author":"Khan","year":"2018","journal-title":"J Minim Invasive Gynecol"},{"key":"R5-20261012","doi-asserted-by":"crossref","first-page":"100762","DOI":"10.1016\/j.ajogmf.2022.100762","article-title":"Reproductive outcomes of natural pregnancy after hysteroscopic septum resection in patients with a septate uterus: A systematic review and meta-analysis","volume":"5","author":"Jiang","year":"2023","journal-title":"Am J Obstet Gynecol MFM"},{"key":"R6-20261012","doi-asserted-by":"crossref","first-page":"1063774","DOI":"10.3389\/fendo.2023.1063774","article-title":"Reproductive outcomes and risk factors of women with septate uterus after hysteroscopic metroplasty","volume":"14","author":"Chang","year":"2023","journal-title":"Frontiers in Endocrinology"},{"key":"R7-20261012","doi-asserted-by":"crossref","first-page":"1084","DOI":"10.3390\/diagnostics14111084","article-title":"Uterine arteriovenous malformation: Diagnostic and therapeutic challenges","volume":"14","author":"Clavero Bertomeu","year":"2024","journal-title":"Diagnostics (Basel)"},{"key":"R8-20261012","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1186\/s12905-024-02944-0","article-title":"Review of Asherman syndrome and its hysteroscopic treatment outcomes: Experience in a low-resource setting","volume":"24","author":"Siferih","year":"2024","journal-title":"BMC Womens Health"},{"key":"R9-20261012","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1148\/radiol.2331020777","article-title":"Mullerian duct anomalies: Imaging and clinical issues","volume":"233","author":"Troiano","year":"2004","journal-title":"Radiology"},{"key":"R10-20261012","doi-asserted-by":"crossref","first-page":"2019","DOI":"10.3390\/diagnostics14182019","article-title":"Prevalence of septate uterus in a large population of women of reproductive age: Comparison of ASRM 2016 and 2021, ESHRE\/ESGE, and CUME diagnostic criteria: A prospective study","volume":"14","author":"Carriles","year":"2024","journal-title":"Diagnostics (Basel)"},{"key":"R11-20261012","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.jmig.2017.09.020","article-title":"Hysteroscopic management of Asherman's syndrome","volume":"25","author":"Khan","year":"2018","journal-title":"Journal of minimally invasive gynecology"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_26_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:01:56Z","timestamp":1791810116000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_26_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,25]]},"references-count":11,"journal-issue":{"issue":"Suppl 3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_26_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,25]]},"assertion":[{"value":"2026-01-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}