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A unicornuate uterus with a rudimentary horn has an estimated prevalence of 1:500 to 6%of all uterine abnormalities. We present a case of a natural experiment, which is the most compelling evidence for transperitoneal migration in a patient with a left unicornuate uterus and a right rudimentary uterine horn to which was attached her only ovarian tissue. Our patient fell pregnant through natural means three years after she underwent a left oophorectomy for a large, benign left ovarian cyst. She was delivered by a caesarean section of a term male infant because of a breech presentation and failed external cephalic version. Her postnatal course was uneventful and she was discharged home on day 4 post-delivery.

Topic: Lessons from a Congenital Uterine Abnormality – Undisputed Evidence for Transperitoneal Migration of an Oocyte. A Case Report