Septate uterus with double cervices, unilaterally obstructed vaginal septum, and ipsilateral renal agenesis: A rare combination of müllerian and wolffian anomalies complicated by severe endometriosis in an adolescent

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AI-generated summary by claude@2026-06, 2026-06-07

This case report details a rare combination of müllerian and wolffian anomalies, including a septate uterus, double cervices, unilaterally obstructed vaginal septum, and ipsilateral renal agenesis, in an adolescent with severe endometriosis.

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Abstract

We present a previously unreported combination of müllerian and wolffian anomalies of a septate uterus with double cervices, unilaterally obstructed vaginal septum, and ipsilateral renal agenesis; this constellation of findings may offer clues that could modify classic embryologic explanations. In spite of the young age of our patient (15-years old), a chief complaint of malodorous vaginal discharge, and absence of dysmenorrhea or any other symptoms of endometriosis, laparoscopic examination revealed severe endometriosis with dense adhesions, probably as a result of abundant menstrual regurgitation. Laparoscopic resection of endometriotic lesions, adhesiolysis, and vaginoscopic septotomy were successfully performed while preserving hymenal integrity.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Hysteroscopy Laparoscopy Uterus Vaginal Discharge Abnormalities, Multiple Adolescent Endometriosis Endometriosis Female Humans Hysteroscopy Laparoscopy Mesonephros Mesonephros Mullerian Ducts Mullerian Ducts Uterine Cervical Diseases Uterus Vaginal Discharge

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europepmc
last seen: 2026-08-04T06:16:37.499272+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:15:06.633332+00:00
unpaywall
last seen: 2026-08-04T06:56:55.048231+00:00
License: CC0 · commercial use OK