A CASE REPORT OF SUCCESSFUL PREGNANCY OUTCOME IN UNICORNUATE UTERUS WITH RUDIMENTARY HORN

Unicornuate uterus with rudimentary horn is developmental anomaly which occurs due to abnormal or failed development of one of the paired mullerian duct or fusion of the ducts. Rudimentary horn can be communicating or non-communicating. Non communicating rudimentary horn (90%) is more common type. Women with unicornuate uterus have increased incidence of obstetric complications like spontaneous abortions, preterm delivery and intrauterine foetal demise and Gynaecological complications like infertility, endometriosis and dysmenorrhoea. We here present a case of 25yrs, G2P1D1 on admission 32 weeks 3days by LMP and 31weeks 0 days by USG of 7weeks with Rh negative pregnancy with HBsAg reactive status with severe oligohydramnios (AFI-5cm) with symmetric IUGR admitted for observation. Emergency LSCS was done on day 15 of admission i/v/o colour Doppler s/o placental insufficiency and intraoperatively patient was found to have unicornuate uterus with rudimentary horn and baby was male 1.4kg cried immediately after birth. CONCLUSION: If pregnancy with unicornuate uterus with rudimentary horn managed well it can result in favourable obstetric outcome.