# Associated congenital genitourinary and intestinal anomalies: A case report

## TL;DR

A 44-year-old woman with rare genitourinary and intestinal birth defects highlights the need for better classification and team-based care.

## Contribution

This case report identifies a rare combination of genitourinary and intestinal anomalies requiring multidisciplinary management.

## Key findings

- The patient had uterus didelphys, urethral and bladder duplication, and a vaginal septum.
- Magnetic resonance imaging was essential for diagnosing the complex anatomy.
- The case emphasizes the need for a comprehensive classification system and multidisciplinary care.

## Abstract

The female urogenital tract originates in the intermediate mesoderm, with the Müllerian ducts being critical for uterine, vaginal, and tubal formation. This report presents a 44-year-old patient with uterus didelphys, urethral and bladder duplication, complete longitudinal vaginal septum and intestinal malrotation, suggesting a complex, multi-stage embryonic disorder. The patient, asymptomatic from a gynecological viewpoint, presented with refractory urinary incontinence. Magnetic resonance imaging was crucial in characterizing the anatomy. The rarity and complexity of such cases underscore the need for a comprehensive classification system and multidisciplinary care to enable accurate diagnosis, appropriate management, and improved patient quality of life.

•A 44-year-old woman presented with a complex, multi-stage embryonic disorder.•The patient had a rare condition involving genitourinary and intestinal anomalies.•A comprehensive classification system and multidisciplinary care are required.

A 44-year-old woman presented with a complex, multi-stage embryonic disorder.

The patient had a rare condition involving genitourinary and intestinal anomalies.

A comprehensive classification system and multidisciplinary care are required.