Incidental diagnosis of unilateral renal and adnexal agenesis in a 46-year-old multiparous woman

Abstract

Patient: Female, 46Final Diagnosis: Unilateral adneksial and renal agenesisSymptoms: MenometrorrhagiaMedication: —Clinical Procedure: Total abdominal hysterectomy and unilateral salphingoopherectomySpecialty: Obstetrics and gynecologyObjective:Rare diseaseBackground:Unilateral renal and adnexal agenesis is quite rare. Absence of any uterine abnormality accompanying current urogenital abnormalities is even rarer.Case Report:We report on the case of a 46-year-old multiparous woman, incidentally diagnosed to have unilateral renal, ovarian, and tubal agenesis just before hysterectomy due to menometrorrhagia and myoma uteri.Conclusions:Any diagnosis of a urogenital abnormality necessitates investigation of comorbid renal or genital abnormalities.

Unilateral ovarian and fallopian tube agenesis in an infertile patient with a normal uterus

“…The first published case of unilateral ovarian absence was reported in 1923 ( 7 ). In recent years, several similar cases have been reported ( 1 , 4 , 8 , 9 ), which may be due to the widespread use of laparoscopy for diagnostic purposes; however, the total number of cases remains small.…”

“…The literature was reviewed and a number of similar cases without uterine anomalies were identified ( Table I ). A number of studies have also evaluated the urinary tract in patients with ovarian agenesis ( 8 , 9 ). Among the cases listed, there were two patients with unilateral renal agenesis.…”

“…Unilateral absence of the adnexa may reduce the probability of becoming pregnant; however, pregnancy remains possible if there is a functional fallopian tube. Previously, a patient with this condition was reported who had four normal pregnancies that resulted in normal vaginal deliveries ( 8 ). The patient presented in the current study was found to have an absent left adnexa and an obstructed right fallopian tube during laparoscopic examination, with no passage of methylene blue solution from the lumen of the right tube; however, the uterus and right ovary were normal.…”

Combination of cervical cancer and unilateral complete aplasia of the adnexa: a case report

“…Некоторые исследования показали, что одностороннее отсутствие яичника может рассматриваться как возможный фактор бесплодия, если имеется функциональная контралатеральная маточная труба [17]. Ранее сообщалось о пациентке с такой аномалией, у которой было четыре нормальные беременности, завершившиеся нормальными влагалищными родами [18,19]. У ýтой пациентки диагностированы отсутствие левого яичника и окклюзия правой маточной трубы во время лапароскопического исследования, однако матка и правый яичник были нормальными.…”

“…[7]. Çа последнее десятилетие описан целый ряд клинических наблюдений с данной патологией, что может быть связано с широким использованием диагностической лапароскопии, однако общее число случаев остается небольшим [6][7][8][9][10][11].…”