June 26th, 2019

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Title:
Congenital Anomalies of the Kidney and Urinary Tract in Patients with Septate Uteri
Authors:  Darcy E. Broughton, M.D., Kelsey Anderson, M.D., Cary L. Siegel, M.D., and Emily S. Jungheim, M.D., MSCI
  OBJECTIVE: To determine the prevalence of congenital anomalies of the kidney and urinary tract in patients with a septate uterus.

STUDY DESIGN: This was a cross-sectional study performed at an academic quaternary care center. Female patients undergoing a radiologic procedure between 2005–2016 in which a uterine septum was identified and renal imaging was available were included. The main outcome measure was prevalence of congenital anomalies of the kidney and urinary tract in patients with a uterine septum.

RESULTS: A total of 127 patients met the inclusion criteria. Congenital anomalies of the kidney and urinary tract were identified in 11 patients (8.7%) and included renal agenesis (N=6), horseshoe kidney (N=2), pelvic kidney (N=1), a duplicated collecting system (N=1), and malrotation (N=1).

CONCLUSION: We found that kidney and urinary tract anomalies were common in patients with a uterine septum. When a patient is diagnosed with a septate uterus, renal imaging should be recommended.
Keywords:  congenital abnormalities, infertility, kidney abnormalities, urogenital abnormalities, uterine anomalies, uterine diseases, uterus
   
   
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