Congenital uterine anomalies result from defect in unification of the müllerian duct during intrauterine fetal life. Pregnancy in such abnormalities associated with poor outcome including rudimentary horn rupture, miscarriage, hemorrhage and death. The diagnosis is also difficult in lower resource settings and case management requires good skills in surgery. We present a case with failed labour induction and misdiagnosis of pregnancy in rudimentary horn of bicornuate uterus. This case has tremendously delay in diagnosis and management, however the final decision of conducting surgery was implicit successful.

Keywords : Bicornuate, Rudimentary horn, Uterus.