Uterine rupture in a primigravida with mullerian anomaly at 27 weeks gestation

Mullerian anomalies are rare and are often associated with infertility, chronic pelvic pain and pregnancy wastage. This is a case report of a primigravida at 27 weeks gestation, who presented in shock. Intra-operatively, a mullerian anomaly with a ruptured left horn was found and excised. She made remarkable recovery and was discharged home. Uterine anomalies should be ruled out in the evaluation of pregnancy wastage. When present, management should be individualized based on the clinical history, presentation, anatomical aberration and the patient’s future fertility desire.