Uterine rudimentary horn and ovarian endometriosis with a special emphasis on VACTERL association: a report of two cases

Arushi Bhadwal; Sonam Sharma; Sunil Ranga

doi:10.18203/2320-1770.ijrcog20241793

Authors

Arushi Bhadwal Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi
Sonam Sharma Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi
Sunil Ranga Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241793

Keywords:

Mullerian duct anomalies, Unicornuate uterus, Rudimentary uterine horn, Endometriosis, VACTERL

Abstract

Mullerian duct anomalies are a wide and complex spectrum of congenital abnormalities that are often associated with renal as well as axial skeletal anomalies or can be a part of multiple malformation syndrome and may cause numerous other gynecological complications. We herein describe two young girls who presented with a common complaint of abdominal pain and had normal secondary sexual characteristics.The first case had a history of imperforate anus, and urinary incontinence due to renal anomalies including ectopic kidney, renal agenesis, duplex ureter along with sacral agenesis which were confirmed on imaging. VACTERL (V-vertebral anomalies, A-anorectal malformations, C-cardiovascular anomalies, T- tracheoesophageal fistula, E-esophageal atresia, R-renal anomalies, and L-limb defects) association was considered. To the best of our knowledge, this is the fourth such case with concomitant VACTERL association. Surgical resections were performed in both cases, after clinical-radiological correlation. Histopathological examination of specimens revealed a unicornuate uterus with a rudimentary horn and ovarian endometriosis. In conclusion, early identification and prompt intervention through a multidisciplinary approach are paramount for managing such anomalies as they can have many detrimental implications.

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