[Communicating uteri; a rather uncommon but important malformation (author's transl)]

Area of Science:

• Reproductive Medicine
• Embryology
• Urology

Background:

• Focuses on a rare congenital condition: double uterus malformation.
• Highlights the embryological origin of the communication between uterine cavities.
• Notes the limited number of reported cases, emphasizing its rarity.

Observation:

• Presents four new cases, bringing the total literature cases to 31.
• Characterizes the malformation by a specific embryological communication between two uterine cavities.
• Observes frequent co-occurrence with unilateral renal agenesis (kidney and ureter absence).

Findings:

• Diagnostic challenges and unique clinical presentations are associated with this malformation.
• The presence of uterine communication can complicate clinical symptom recognition and management.
• Unilateral agenesis of the kidney and ureter is a significant associated anomaly.

Implications:

• Knowledge of uterine communication is vital for accurate diagnosis and treatment planning.
• Awareness of potential coexisting urinary tract malformations is crucial for patient outcomes.
• Early recognition and comprehensive management are essential for improving patient prognosis and well-being.