Tiếng Việt
A Long Journey to a Complete Diagnosis
In 2008, during a routine health check-up in Bac Ninh province, the patient was found to have only one congenital left kidney. The left kidney had enlarged to compensate for the absence of the right kidney, while no abnormalities of the reproductive organs were detected at that time.
While trying for a child, the patient experienced several consecutive miscarriages. Further investigations revealed a septate uterus, a congenital uterine anomaly associated with recurrent pregnancy loss. Following hysteroscopic resection of the uterine septum, she conceived again in 2013. Although the pregnancy was considered high-risk and required almost continuous hospital monitoring, she successfully delivered a healthy baby in 2014.
In 2020, a small uterine fibroid was detected during a routine examination and was managed with regular follow-up. By 2026, the fibroid had grown rapidly, causing abdominal pain and pressure on the colon, and surgery was recommended.
An Unexpected Discovery in the Operating Room
During surgery, the medical team at HFH identified several anatomical abnormalities that had not been fully recognized during previous examinations.
In addition to having only one left kidney, the patient was found to have only a left ovary and left fallopian tube. The right ovary, right fallopian tube and right round ligament were all congenitally absent.
The combination of right renal agenesis, right adnexal agenesis and a congenital uterine anomaly is extremely rare in gynecological practice.
Rare Congenital Anomalies Do Not Always Prevent Motherhood
According to Dr. Ngo Thi Bang, the surgeon who performed the operation:
“The reproductive and urinary systems develop from closely related embryonic structures. Therefore, abnormalities in one system may be associated with abnormalities in the other.”
Despite these congenital anomalies, the patient was able to achieve a successful pregnancy after receiving the correct diagnosis and appropriate treatment.
This case highlights an important message: congenital abnormalities of the reproductive system do not necessarily mean infertility. With timely diagnosis and appropriate management, many women can still conceive and give birth to healthy children.
A Personalized Surgical Approach
For large uterine fibroids, total hysterectomy is often the standard treatment. However, every patient has unique anatomical and clinical characteristics that require an individualized approach.
In this case, the patient had only one functioning kidney and one ureter. Extensive dissection around the cervix could have increased the risk of ureteral injury. Since preoperative evaluation confirmed that the cervix was healthy and showed no abnormalities, the surgical team chose to perform a subtotal hysterectomy instead.
The patient’s left ovary and left fallopian tube were also carefully preserved to maintain long-term hormonal function.
According to Dr. Ngo Thi Bang, this case illustrates the importance of personalized surgical planning. At Hanoi French Hospital, every surgical procedure is tailored to each patient’s individual anatomy and medical condition to achieve the best possible outcomes while preserving organ function and minimizing postoperative complications.
For consultation or to book an appointment with an Obstetrics & Gynecology specialist at Hanoi French Hospital, you can reach Hanoi French Hospital in the following ways:
Address: No. 1 Phuong Mai, Kim Lien, Hanoi
Hotline: 024 3577 1100
WhatsApp: +84 903 497 078
