MULLERIAN ANOMALY WITH UNILATERAL RENAL AGENESIS: CASE REPORT

Dr. Ankisha Sharma* and Dr. Aabha Sharma

ABSTRACT

Mullerian duct anomalies are those structural anomalies which occur due to errors in mullerian duct devolpment during embryonic morphogenesis. Incidence is 2-3% in fertile women and 3% in infertile women and can be diagnosed in infancy, adolscense or adulthood with common complaints of repeated abortions, preterm labour, IUGR, malpresentations, dystocias at delievery, infertility, dysmenorrhoea, amenorrhoea etc. Diagnosis is radiological and can be confirmed by hysteroscopy. A 30 yrs old female presented with complaint of amenorrhoea since 9 months and was diagnosed as breech presentation on ultrasonography. On history taking patient had complain of irregular menstrual cycles and severe dysmennorhoea since menarche and patient had complaint of primary infertility since 4 years of marriage. The patient underwent emergency caesarean section and intraoperatively found to have unicornuate uterus without horn with absent right fallopian tubes and ovaries. Then patient was further investigated postoperatively to rule out any ectopic ovary, renal abnormalities and skeletal anomalies. On USG KUB patient was found to absent right kidney in association with absence of right ovary. There is likelihood of association between mullerian renal and skeletal anomalies which is having rare occurrence.

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