Pregnancy in a congenitally anomalous uterus is difficult and can be often
missed on routine investigation such as transabdominal ultrasonography.
Here we discuss a fascinating case of an accidentally diagnosed with
unicornuate uterus having a communicating rudimentary horn with a live
pregnancy in a 34-year-old sub fertile primigravida with IVF conception who
was a known case of hypothyroidism. This rare diagnosis of Mullerian
anomaly was made intraoperatively while the patient was undergoing
caesarean section. Though there is massive advancement in the fields of
imaging modalities and diagnostic ultrasonography, antenatal diagnosis has
still remained elusive
Keywords: Mullerian anomaly, subfertility, poor ovarian reserve, unicornuate
uterus, IVF conception