A case report of uterine extension from uterine fundus to the anterior abdominal wall

Abstract

Background: Developmental anomalies of the genitourinary system account for 14–40% irregularities in prenatal sonography, and require greater understanding for pelvic surgery and fertility issues. Aim: This case report describes a 96-year-old formaldehyde-fixed female cadaver observed to have an unusual conical uterine fundus with a tube-like extension from its fundus to the peritoneal lining of the inside of the anterior abdominal wall. Method and Results: On gross observation, it seemed to be a midline fusion weakness of the uterus. Histological examination revealed similarities of the specimen to uterine histology, but with unusual, potentially pathological features. Conclusion: Thorough literature search, and the histological investigation, we conclude a uterine diverticulum with no scarring or fibrosis. Uterine diverticula are rare anomalies and should be differentiated from sacculations of pregnancy and other pelvic masses.

Keywords

• Uterine extension
• Uterine diverticulum
• Müllerian duct anomaly
• Müllerian duplication
• Uterus