Septate uterus with left fallopian tube hypoplasia and ipsilateral ovarian agenesis.

OBJECTIVE

To report a combined genital tract anomaly of septate uterus, unilateral fallopian tube hypoplasia, and ipsilateral ovarian agenesis.

DESIGN

Case report.

SETTING

Academic tertiary care center.

PATIENT: A 24-year-old female.

INTERVENTION(S): History and physical, pelvic sonogram, hysterosalpingogram, intravenous pyelogram, abdominal and pelvic magnetic resonance imaging, diagnostic laparoscopy, exploratory laparotomy, cuff neosalpingostomy, and uterine septum resection.

MAIN OUTCOME MEASURE(S): Recognition of three independent and rare reproductive tract anomalies in the same patient.

RESULT(S): Restoration of anatomy and subsequent fertility.

CONCLUSION(S): A careful clinical evaluation with consideration of embryologic origin is essential to the identification and treatment of rare reproductive tract malformations.