Mullerian abnormalities serve as a fascinating framework with which to understand both the embryonic development and normal reproductive functioning. Uterine malformations are closely related to an abnormal uterine cavity, which is thought to impair the reproductive performance of patients. Pregnancy in a non- communicating rudimentary horn is extremely rare and, it is a life threatening condition because most cases terminate by uterine rupture by the second trimester. A case of such uterine anomaly, complicated by placenta accreta and ipsilateral renal agenesis in an 18-year-old primigravid is presented. Exploratory laparotomy with excision of left rudimentary horn uterus was performed. The hemorrhagic risk due to placenta accreta and that of spontaneous uterine rupture represent ample argument to recommend the immediate surgical removal of a pregnant rudimentary horn as soon as identification is carried out.
MULLERIAN ; DUCT ; PLACENTA ; ACCRETA ; RUDIMENTARY ; HORN ; UNICORNUATE ; UTERUS ; TRANSPERITONEAL ; SPERM MIGRATION ; ;