Vaginal insertion of ureter with uterus didelphys and ipsilateral renal agenesis: A case report

Uterus didelphys with vaginal insertion of ureter with ipsilateral renal agenesis is a rare congenital anomaly of the female urogenital development. In this case, we present a 45-year-old-woman with uterus didelphys, longitudinal vaginal septum, and right renal malformations. A remanent of the right ureter inserted into the vaginal fornix alongside an absent ipsilateral kidney was discovered during preoperative MR imaging. Few cases of vaginal insertion of the ureter with uterus didelphys have been reported in the literature. Due to the rarity and anatomical complexity of uterus didelphys, alongside typical asymptomatic presentation, precise pre-operative imaging is integral for successful obstetric and gynecological surgical planning and execution.