Complex genital malformation: ectopic ureter ending in a supposed mesonephric duct in a woman with renal agenesis and ipsilateral blind hemivagina

• Published in: European journal of obstetrics & gynecology and reproductive biology Vol. 117; no. 1; pp. 105 - 108
• Main Authors: Acién, Pedro, Susarte, Francisco, Romero, Jesús, Galán, Joaquı́n, Mayol, Marı́a-José, Quereda, Francisco J., Sánchez-Ferrer, Marisa
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 10.11.2004; Elsevier
• Subjects: Abnormalities, Multiple - diagnostic imaging; Abnormalities, Multiple - pathology; Abnormalities, Multiple - surgery; Adult; Biological and medical sciences; Blind vagina; Ectopic ureter; Embryology of the human vagina; Female; Genital malformation; Genitalia, Female - abnormalities; Genitalia, Female - diagnostic imaging; Genitalia, Female - surgery; Gynecology. Andrology. Obstetrics; Humans; Magnetic Resonance Imaging; Medical sciences; Renal agenesis; Tomography, X-Ray Computed; Treatment Outcome; Urinary Tract - abnormalities; Urinary Tract - pathology; Urinary Tract - surgery; Urogenital Abnormalities - diagnostic imaging; Urogenital Abnormalities - pathology; Urogenital Abnormalities - surgery; Urogenital Surgical Procedures - methods; Urography; Embryology of the human vagina; Blind vagina; Renal agenesis; Genital malformation; Ectopic ureter; Human; Blind; Agenesis; Gynecology; Genital system; Vagina; Obstetrics; Kidney; Ipsilateral; Embryology; Urinary system; Complex malformation; Adult; Female; Ectopia; Ureter
• ISSN: 0301-2115; 1872-7654
• DOI: 10.1016/j.ejogrb.2004.01.042

We present a clinical case of a patient with left renal agenesis and ipsilateral blind hemivagina who also had one or more atretic ectopic ureters opening into supposed mesonephric duct, which in turn opened into, or joined onto, the ipsilateral hemicervix, continuing with the blind hemivagina. The diagram of this complex genitourinary malformation would strongly support our hypothesis of the embryology of the human vagina as deriving from the Wolffian ducts and the Müllerian tubercle.