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A case report of Complete septate uterus with longitudinal vaginal septum: A Rare Congenital Anomaly Presented by- Dr.Vridhika Jasrasaria, PG Resident, Obstetrics and Gynaecology ,Pacific Institute of Medical Sciences,Udaipur Introduction Mullerian duct anomalies (MDAs) are congenital defects of the female genital system that arise from abnormal embryological development of the Mullerian ducts. Complete Septate uterus with longitudinal vaginal septum is a rare variant of mullerian anomaly. Case Report A 34 year old female came with Secondary infertility and suspicious utero-vaginal anomaly. She has a regular menstrual flow with no complains of dysmenorrhea.She conceived two year back but had spontaneous abortion at around 7 weeks. Pelvic Examination revealed a longitudinal vaginal septum. Ultrasonographic examination shows Complete septate uterus with a complete division of upper 2/3rd vagina by a septum of length 5cm. Diagnostic hysteroscopic laparoscopy with septal resection was performed for evaluation and correction of uterovaginal anomaly. Discussion Septate uterus is considered is a type of uterine duplication anomaly. It results from partial or complete failure of resorption of the uterovaginal septum after the fusion of paramesonephric ducts. Conclusion The reproductive outcome has been shown to improve after resection of the septum with reported decrease in the spontaneous abortion rate after hysteroscopic septal resection and unification of the endometrial cavity.