PMC6159197_01
(a) USG pelvis showing absence of uterus, cervix and vagina with distended urinary bladder and right ureteroceles (yellow arrow). (b) USG grey scale and Doppler study images showing the right ovary in inguinal canal with patent vascularity and normal ovarian follicles inside.
bjrcr.20160080.g001.jpg
PMC6159197_01_bjrcr.20160080.g001.jpg
f1
On pelvic sonography, there was complete non- visualization of uterus, cervix and vagina (Figure 1a). Both the ovaries were not seen in their normal anatomical location and on extensive search, they were localized in bilateral inguinal canals (Figure 1b). In addition to above findings bilateral ureteroceles were also noticed (Figure 1a).
(a) T2 weighted sagittal section of pelvis showing complete absence of uterus, cervix and vagina with normal appearing urinary bladder. (b) T2 weighted axial image of pelvis showing both the ovaries in bilateral inguinal canal (yellow arrows).
bjrcr.20160080.g002.jpg
PMC6159197_01_bjrcr.20160080.g002.jpg
f2
CT urogaphy and screening MRI pelvis were advised for detailed evaluation of urogenital anomalies which confirmed complete agenesis of the uterus, cervix and vagina (Figure 2a). Both the ovaries were visualized in bilateral inguinal canals (Figure 2b).
(a) Delayed contrast-enhanced CT abdomen and pelvis in coronal section showing normal excretion of contrast to urinary bladder with bilateral ureteroceles (yellow arrows). Both the kidneys are located in normal anatomical location. (b) The diagram showing the inguinal canal, hernia sac with ovary inside the sac.
bjrcr.20160080.g003.jpg
PMC6159197_01_bjrcr.20160080.g003.jpg
f3
In abdomen the kidneys were normal in size, morphology and located in normal anatomical location without any developmental anomalies (Figure 3a). Delayed CT KUB scan showed bilateral ballooning of vesicoureteric junction confirming the bilateral ureteroceles (Figure 3a).