Presenting complaints: A 28-year-old married woman presented to an infertility clinic with primary amenorrhea. She was further referred for the evaluation of a shapeless pelvic mass to rule out any possibilities of non-functional or diseased ovaries and uterus. Physical examination: The patient's secondary sexual characteristics indicated the presence of axillary and pubic hair, while her breast examination exhibited Tanner Stage III. Vaginal examination: This examination showed a blind vagina.

Laboratory tests: Hormonal serum profile, showing the normal range FSH, LH, and prolactin. Serum creatinine levels were also normal. Ultrasound examination of the pelvis: A bilateral renal agenesis was seen on the left side of the pelvic cavity with a 95 mm × 72 mm that measured the ectopic pancake-shaped kidney. Additionally, a complete absence of the cervix, uterus, and the upper part of the…