Uterus bicornuate unicollis is one of the various congenital abnormalities of the female genital tract caused by partial fusion of the mullerian ducts on both sides. A case of acute abdomen resulting from missed diagnosed bicornuate unicollis uterus in a 42-year infertile women was presented. The ultrasonographic diagnosis of twisted complex left adnexial cyst was made prior to exploratory laparotomy.
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