# An Uncommon Encounter: Obstetric Management of a Bicornuate Bicollis Uterus With a Longitudinal Vaginal Septum

## TL;DR

This case report details a rare uterine anomaly in a woman who had a ruptured ectopic pregnancy.

## Contribution

The report presents a unique case of bicornuate bicollis uterus with a longitudinal vaginal septum managed during an ectopic pregnancy.

## Key findings

- A 25-year-old woman presented with a rare bicornuate bicollis uterus and longitudinal vaginal septum.
- The case emphasizes the importance of early detection and individualized management of Mullerian anomalies.
- Intraoperative and MRI findings confirmed the rare anatomical variation.

## Abstract

This case report describes a rare presentation of a bicornuate bicollis uterus with a longitudinal vaginal septum in a 25-year-old woman presenting with a ruptured ectopic pregnancy. The patient's obstetric history revealed a previous cesarean section due to oligohydramnios. The diagnosis was confirmed through intraoperative assessment and MRI findings. Despite successful management of the ectopic pregnancy, the case underscores the importance of early detection and tailored management of Mullerian anomalies to optimize pregnancy outcomes. This report highlights the need for continued research to improve diagnostic accuracy and therapeutic approaches for such complex anatomical variations.