Complex Müllerian malformation without any present classification: Unilateral ovarian and tubal absence with an arcuate uterus

Yusuke Tanaka, Shinsuke Koyama, Masaki Kobayashi, Satoshi Kubota, Ryo Nakamura, Masanori Isobe, Yasuhiko Shiki
In: Asian Journal of Endoscopic Surgery · 2013 · vol. 6(1) , pp. 55–57 · doi:10.1111/j.1758-5910.2012.00159.x · PMID:23347709 · W1540432016
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This report details an exceptionally rare case of a Müllerian duct anomaly characterized by unilateral ovarian and tubal absence combined with an arcuate uterus, which does not fit current classification systems.

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Abstract

Müllerian duct anomalies are known to cause infertility and reproductive problems. The true incidence of such abnormalities is not well defined. The most widely accepted method of classification for a Müllerian duct anomaly is the American Society of Reproductive Medicine classification (1988). However, there are some rare anomalies inconsistent with the current classification. Herein, we report a rare case of Müllerian duct anomaly, unilateral ovarian and tubal absence with an arcuate uterus. The failure of the Müllerian ducts to canalize can also lead to the development of a unicornuate uterus and adnexal agenesis. An arcuate uterus indicates incomplete septal absorption after normal fusion of the Müllerian ducts. Therefore, its coexistence with adnexal absence and an arcuate uterus is considered to be extremely unlikely.

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infertility

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