DOI: https://doi.org/10.36347/sasjs.2025.v11i06.013

Pages: 725-727

This case report presents a rare instance of a term pregnancy in a Robert’s uterus, a rare Müllerian duct anomaly characterized by an asymmetric septate uterus with one obstructed hemicavity and a normal external uterine contour. A 27-year-old woman, previously diagnosed with a septate uterus and with a history of gestational diabetes, presented in spontaneous labor at term. Ultrasound confirmed a breech pregnancy in a bicornuate uterus. Due to malpresentation and the uterine anomaly, a cesarean section was performed, resulting in the delivery of a healthy male neonate with a triple nuchal cord. Despite the uterine anomaly, the pregnancy reached term with mild fetal growth restriction, a common complication in such cases. This report underscores the feasibility of successful term pregnancy in Robert’s uterus with early diagnosis and careful monitoring. Imaging, especially ultrasound and MRI, plays a crucial role in diagnosis, and cesarean delivery remains the safest option when anatomical abnormalities or malpresentation are present.