Association of renal agenesis and mullerian duct anomalies

Purpose: The purpose of this work was to determine the association of renal agenesis with the different types of mullerian duct anomalies (MDAs). Method: A 5 year retrospective review of MR records identified 57 patients with MDAs. Associated renal anomalies were correlated with the various type s of MDAs. Results: Renal agenesis was found in 17 (29.8%) of 57 patients. No other re nal anomalies were identified. Renal agenesis was more frequent in patients with uterus didelphys (13/16 cases). Renal agenesis was also seen in patie nts with uterine agenesis (2/5 cases) and unicornuate uterus (2/7 cases). A ll 11 cases of obstructed uterus didelphys were associated with renal agene sis ipsilateral to the side of the obstructing transverse hemivaginal septu m. Conclusion: Renal agenesis is more commonly seen in uterus didelphys than i n other types of MDAs. Renal agenesis in patients with uterus didelphys is often ipsilateral to an obstructing, transverse, hemivaginal septum.