{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T14:13:46Z","timestamp":1783692826417,"version":"3.55.0"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Congenital anomalies of the urogenital system frequently coexist with renal abnormalities due to their shared origin from the intermediate mesoderm. Skeletal anomalies may also be associated, reflecting overlapping embryological development of mesodermal derivatives. Such multisystem involvement can pose a diagnostic challenge, particularly when identified incidentally.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report a 15-year-old female who presented with abdominal swelling and pain, later diagnosed as an umbilical hernia. During radiological evaluation, incidental findings of right renal agenesis, scoliosis, and a bicornuate uterus were identified. The patient underwent successful surgical management of the umbilical hernia. This case highlights the importance of recognizing coexisting anomalies and adopting an integrated approach in evaluation and management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights the need for a systematic, bidirectional evaluation when a congenital anomaly is identified, particularly involving the renal, genital, and skeletal systems. A syndromic perspective is essential to avoid missed diagnoses, facilitate appropriate follow-up, and anticipate long-term implications in such patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11795476261467685","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:39:51Z","timestamp":1783507191000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidental Multisystem Anomalies in an Adolescent Female: A Case Report of a Diagnostic Dilemma"],"prefix":"10.1177","volume":"19","author":[{"given":"Deekshitha","family":"Alla","sequence":"first","affiliation":[{"name":"Department of General Medicine, Andhra Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranathi","family":"Chanti","sequence":"additional","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moksh Sanjay","family":"Khetan","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srinidhi","family":"Appala","sequence":"additional","affiliation":[{"name":"Department of General Medicine, All India Institute of Medical Sciences Bhopal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit Rao","family":"Dugyala","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Gandhi Medical College and Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sagnik","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of General Medicine, KPC Medical College and Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keerthana","family":"Chittepu","sequence":"additional","affiliation":[{"name":"Department of General Medicine, RKDF Medical College Hospital & Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pritha","family":"Mohanta","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Hi-Tech Medical College & Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ram Prasanjith Reddy","family":"Bollampalli","sequence":"additional","affiliation":[{"name":"Department of General Medicine, MediCiti Institute of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0069-3781","authenticated-orcid":false,"given":"Ruth Getaneh","family":"Bayeh","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Adama General Hospital and Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmr028"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2006.07.1501"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.30721"},{"key":"e_1_3_6_5_2","first-page":"472","volume-title":"Essentials of Domestic Animal Embryology","author":"Hyttel P","year":"2009","unstructured":"Hyttel P, Sinowatz F, Vejlsted M, Betteridge K. Essentials of Domestic Animal Embryology. Saunders; 2009:472."},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.25077\/jom.6.1.119-131.2021"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/s12276-020-0482-1"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2004.10.044"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.2298\/mpns0306291m"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.06.048"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2021.08.042"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-017-3686-4"},{"key":"e_1_3_6_13_2","volume-title":"StatPearls","author":"Kaur P","year":"2026","unstructured":"Kaur P, Carlson K, Panneerselvam D. Bicornuate uterus. In: StatPearls. StatPearls Publishing; 2026."},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xnsj.2024.100556"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/wdev.34"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/omcr\/omw022"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-3476(79)80514-4"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-6-56"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.5546\/aap.2023-10138.eng"},{"issue":"4","key":"e_1_3_6_20_2","first-page":"460","article-title":"M\u00fcllerian anomalies. Obstructed hemivagina and ipsilateral renal anomaly syndrome (OHVIRA)","volume":"82","author":"Afrashtehfar CDM","year":"2014","unstructured":"Afrashtehfar CDM, Pi\u00f1a-Garc\u00eda A, Afrashtehfar KI. M\u00fcllerian anomalies. Obstructed hemivagina and ipsilateral renal anomaly syndrome (OHVIRA). 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