Hydrosalpinx in a patient with complex genitourinary malformation

Area of Science:

• Reproductive Medicine
• Urology
• Medical Imaging

Background:

• Complex genitourinary malformations present diagnostic challenges.
• Müllerian duct anomalies and renal duplication are often associated.
• Symptomatic hydrosalpinx can occur in the presence of these anomalies.

Observation:

• An adolescent female with bilateral duplex system and Müllerian duplication (bicornuate uterus, septate vagina) presented with a symptomatic hydrosalpinx.
• Pelvic fluid collection in patients with complex genitourinary malformations warrants suspicion for hydrosalpinx.
• Imaging findings and differential diagnosis considerations are discussed for this complex case.

Findings:

• The case illustrates a rare combination of congenital genitourinary abnormalities.
• Hydrosalpinx diagnosis should be considered in patients with co-existing genital and renal anomalies.
• Approximately 30% of cases with such malformations present with associated genital and renal anomalies.

Implications:

• Early recognition of hydrosalpinx in complex genitourinary malformations is crucial for timely management.
• This case underscores the importance of comprehensive imaging and differential diagnosis in pediatric and adolescent urology.
• Understanding these associations can improve patient outcomes and diagnostic accuracy.