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

• Main Authors: M.G. Sagoo, T.J. Shaw, S. Scandrett, Y. Premakumar, P. Carter
• Format: Article
• Language: English
• Published: Elsevier 2021-01-01
• Series: Translational Research in Anatomy
• Subjects: Uterine extension; Uterine diverticulum; Müllerian duct anomaly; Müllerian duplication; Uterus
• Online Access: http://www.sciencedirect.com/science/article/pii/S2214854X20300261

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.