PSEUDO UNICORNUATE UTERUS: CLINICAL CASE AND LITERATURE REVIEW

The pseudo unicornuate uterus is a rare uterine malformation resulting from incomplete unilateral Müllerian aplasia and is estimated to occur in about 10-14% of all uterine anomalies. It is the consequence of a developmental arrest of one of Mullers ducts, which results in a normal hemi-uterus and a rudimentary horn with or without a cavity. We present a case that illustrates this pathology: This is Mrs. S. H, 30 years old, without any notable history, G2P2, G1: the first pregnancy was followed normally at the health center and the delivery took place by cesarian section for breech presentation in a primiparous woman at term, G2: The second pregnancy was followed up until 39 weeks of amenorrhea at the health center, admitted in early labor, obstetrical ultrasound revealed a single fetal pregnancy with breech presentation, the indication for extraction by the high route was indicated for breech presentation in a scarred uterus. On exploration we noted the presence of a right hemi-uterus in which the pregnancy had developed with a homolateral horn and adnexa, and a small rudimentary remnant on the left continuing with a tube.