Septate uterus with left fallopian tube hypoplasia and ipsilateral ovarian agenesis

Abstract

Objective To report a combined genital tract anomaly of septate uterus, unilateral fallopian tube hypoplasia, and ipsilateral ovarian agenesis. Design Case report. Setting Academic tertiary care center. Patient A 24-year-old female. Intervention(s) History and physical, pelvic sonogram, hysterosalpingogram, intravenous pyelogram, abdominal and pelvic magnetic resonance imaging, diagnostic laparoscopy, exploratory laparotomy, cuff neosalpingostomy, and uterine septum resection. Main Outcome Measure(s) Recognition of three independent and rare reproductive tract anomalies in the same patient. Result(s) Restoration of anatomy and subsequent fertility. Conclusion(s) A careful clinical evaluation with consideration of embryologic origin is essential to the identification and treatment of rare reproductive tract malformations.

Unilateral Absence of Ovary and Fallopian Tube: 3 Rare Case Reports

“…Cases with absent fallopian tube and/or ovary that were associated with either urinary or gastrointestinal system anomalies have been reported [5][6][7][8] . Additionally, uterine malformations with or without round ligament anomalies have also been reported within the scope of these cases 5,7,9,10 .In our three cases, we could not find any anomaly in the uterus or in the renal system. However, similar to ours, cases that were not associated with any other system anomalies have been reported 3,4,9 .…”

Unilateral ovarian absence

“…In 2007, Demir et al [6] reported incidental UOA and unicornuate uterus during a cesarean section. In 2008, Suh et al [7] presented a case of UOA, tubal hypoplasia, and septate uterus and in 2009, Rapisarda et al [8] reported a case diagnosed during urgent laparoscopy for suspected corpus luteum hemorrhage. In 2009, four new cases of UOA were reported [9].…”

Unilateral absence of fallopian tube and ovary in an infertile patient

“…Additionally, uterine malformations with or without round ligament anomalies have also been reported within the scope of these cases (6,(8)(9)(10). In our opinion, adnexal agenesis cases involving uterine malformations that are associated with other system anomalies might be the result of a defect in the development of the entire M€ ullerian and mesonephric system.…”