A case of unicornuate uterus with ipsilateral ovarian and renal agenesis.
OBJECTIVE
To present a case of a unicornuate uterus with ipsilateral ovarian and renal agenesis.


METHODS
Case report.


METHODS
Baskent University Faculty of Medicine, Department of Obstetrics and Gynecology, Adana, Turkey.


METHODS
A 48-year-old gravida 3 (para 3 with term deliveries) woman with a 6-month history of menometrorrhagia was admitted to our clinic. Our diagnosis was a pedunculated submucous leiomyoma that protruded into the vagina.


METHODS
The patient chose to have a total abdominal hysterectomy and unilateral salpingoopherectomy.


METHODS
During laparotomy, a unicornuate uterus with a noncommunicating horn, together with ipsilateral ovarian agenesis, was observed. A total abdominal hysterectomy and unilateral salpingoopherectomy were performed successfully. Because we could not detect the left ovary and left ureter during the operation, we planned an abdominal ultrasonography and intravenous pyelography (IVP) postoperatively to demonstrate possible urinary tract abnormalities.


RESULTS
We detected left renal agenesis by IVP.


CONCLUSIONS
We presented a very rare clinical condition that demonstrates a unicornuate uterus with a noncommunicating horn, and ipsilateral ovarian and renal agenesis concomitantly. The absence of one ovary and one kidney in our case may be explained by the abnormal development of organs derived from a unilateral urogenital ridge.
Haydardedeoglu
Bulent
B
Department of Obstetrics and Gynecology, Baskent University Faculty of Medicine, Adana, Turkey. bulenthaydar@yahoo.com
Simsek
Erhan
E
Kilicdag
Esra Bulgan
EB
Tarim
Ebru
E
Aslan
Erdogan
E
Bagis
Tayfun
T
D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D033162:Incidental Findings; D007668:Kidney / Q000002:abnormalities* / Q000000981:diagnostic imaging; D007813:Laparotomy; D007889:Leiomyoma / Q000150:complications / Q000601:surgery; D008875:Middle Aged; D010052:Ovariectomy; D010053:Ovary / Q000002:abnormalities*; D014564:Urogenital Abnormalities / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D014567:Urography; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery; D014599:Uterus / Q000002:abnormalities*