Rare Case of Unicornuate Uterus with Solitary Fibroid and Single Kidney Successfully Treated at Sangolkar Hospital, Sangli

A 28-year-old female presented with:

• Persistent left-sided abdominal pain for 1 year

• Initial Ultrasound (USG) showing:

  • Suspected left ovarian cyst (3 cm)

  • Possible left pelvic kidney
    

Small ovarian cysts are usually benign and managed conservatively. However, due to persistent symptoms and lack of relief, further evaluation was required.

Advanced Diagnostic Findings

A CT scan revealed unexpected and rare congenital abnormalities:

• Unicornuate uterus on the right side

• Absent uterus on the left side

• Mass on the left side identified as a solitary fibroid arising from undeveloped broad ligament

• Absence of left kidney (renal agenesis)

• Only one functional kidney on the right side
  

Additionally, laparoscopy revealed:

• A cyst in the undeveloped left fallopian tube, initially mistaken for an ovarian cyst on ultrasound
  

This case highlights how rare congenital anomalies can mimic common gynecological conditions.

Final Diagnosis

• Unicornuate uterus (congenital uterine anomaly)

• Broad ligament fibroid on undeveloped uterine side

• Left renal agenesis (absent kidney)

• Fallopian tube cyst misdiagnosed as ovarian cyst
  

Procedure: Advanced Laparoscopic Fibroid Removal

⚕️ Surgical Steps:

• Diagnostic laparoscopy to confirm anatomy

• Careful identification of altered pelvic anatomy

• Laparoscopic removal of fibroid

• Removal of associated cystic structure

• Preservation of surrounding vital structures
  

🎥 Surgical video documented for academic and clinical education.