The comparative rarity of solitary pelvic (ectopic) kidney warrants the reporting of each case. A total of 44 cases have been described in the literature to date. The latest reports are those of Nalle, Crowell and Lynch1 and Cokely and Webster.2 Included among these 44 patients are many with an associated genital anomaly and, more particularly, 11 showing congenital absence of the vagina in combination with solitary pelvic kidney.
The present report is not being undertaken solely because of the rarity of the findings. Because of the ever increasing popularity and successful performance of surgical procedures resulting in a functional vagina, these are often undertaken without preoperative study of the urinary tract. The close embryologic associations of the genital and urinary systems predict the appearance of combinations of aberrations.
A majority of the reports which stress the close relationship of solitary pelvic kidney and some cases of vaginal
KEITZER WA, RIEMENSCHNEIDER EA. CONGENITAL ABSENCE OF THE VAGINA WITH ACCOMPANYING SOLITARY PELVIC KIDNEYCase Report. JAMA. 1950;142(13):987–988. doi:10.1001/jama.1950.72910310004008b
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