Rupture of the gravid horn of bicornuate uterus following induction of labour

We report a case of a Primi gravida with preeclampsia and intrauterine foetal death. As she failed to respond to induction of labour she was taken up for caesarian section. On opening the abdomen, uterus was bicornuate with fundal rupture of left horn. Dead foetus presenting as breech was found in the left horn. After delivering the foetus and placenta the rent was sutured in two layers. In this case, induction of labour in patient with undiagnosed uterine anomaly has led to rupture. This case stresses the importance of early ultrasound in diagnosing uterine anomalies.