Demonstration of uterus didelphys on renal transplant scan in a patient with multiple cloacal anomalies.

Abstract

25-year-old woman born with multiple cloacal anomalies, including an imperforate anus, common urogenital sinus with bladder hypoplasia, and a dysplastic left kidney, underwent a left nephrectomy and creation of an ileal conduit, to which the right ureter was anastomosed. The function of the right kidney diminished secondary to reflux nephropathy, and a right lower quadrant renal transplant was performed. The transplanted ureter was anastomosed to the native right ureter, draining into the ileal conduit. An area of increased radiotracer uptake on the Tc-99m DTPA renal scan represented one horn of the patient's uterus didelphys.