Ectopic Kidney With Vesicoureteral Reflux and Associated Gonadal and Müllerian Anomalies in a Prepubertal Child: A Case Report

The association between congenital renal abnormalities and Müllerian duct anomalies (MDAs) has long been recognized. We present an unusual case, which is of a female child with left grade 4 vesicoureteric reflux (VUR) with ectopic pelvic kidney, who underwent laparoscopic extravesical ureteric reimplantation. Incidental findings on laparoscopy were a left-sided unicornuate uterus placed below the iliac vessels and an ectopic right ovary placed near the deep inguinal ring, which was missed on imaging. Parents of the patient were counselled regarding the complications associated with Müllerian anomalies, like menstrual irregularities, infertility, ectopic pregnancy, and the need for regular follow-up in the future.