A case report of uterine extension from uterine fundus to the anterior abdominal wall

Developmental anomalies of the genitourinary system account for 14–40% irregularities in prenatal sonography, and require greater understanding for pelvic surgery and fertility issues. This case report describes a 96-year-old formaldehyde-fixed female cadaver observed to have an unusual conical uterine fundus with a tube-like extension from its fundus to the peritoneal lining of the inside of the anterior abdominal wall. On gross observation, it seemed to be a midline fusion weakness of the uterus. Histological examination revealed similarities of the specimen to uterine histology, but with unusual, potentially pathological features. Thorough literature search, and the histological investigation, we conclude a uterine diverticulum with no scarring or fibrosis. Uterine diverticula are rare anomalies and should be differentiated from sacculations of pregnancy and other pelvic masses.