The MURCS (Mullerian agenesis, unilateral renal agenesis and cervicothoracic somite deformity) syndrome is a rare disease presenting with normal secondary sexual characters but uterus and upper vagina are absent due to mullerian agenesis. They usually present with primary amenorrhea. This case is unique because her primary diagnosis was chronic kidney disease and she was spotted in the dialysis unit. On thorough examination, her background diagnosis was arrived at. This case illustrates the fact that every patient must be examined in detail clinically.