Associated congenital genitourinary and intestinal anomalies: A case report

The female urogenital tract originates in the intermediate mesoderm, with the Müllerian ducts being critical for uterine, vaginal, and tubal formation. This report presents a 44-year-old patient with uterus didelphys, urethral and bladder duplication, complete longitudinal vaginal septum and intestinal malrotation, suggesting a complex, multi-stage embryonic disorder. The patient, asymptomatic from a gynecological viewpoint, presented with refractory urinary incontinence. Magnetic resonance imaging was crucial in characterizing the anatomy. The rarity and complexity of such cases underscore the need for a comprehensive classification system and multidisciplinary care to enable accurate diagnosis, appropriate management, and improved patient quality of life.