High-grade cervical dysplasia in a woman with uterine didelphys: A case report

•Simultaneous malformations of the genital and urinary tracts present a higher risk of genital cancers.•Carcinomas of the genital tract and genitourinary malformations are separately relatively common but coexistence is rare.•We describe a case of high-grade dysplasia in the left cervix of a woman with a uterine didelphys and urinary malformations.•Multi-disciplinary international Project ECHO tumor boards can provide guidance in the management of difficult cases.