UNIQUE OBSTETRIC CHALLENGES: UNICORNUATE UTERUS WITH STOMA AND SUCCESSFUL MANAGEMENT OF POSTNATAL BURST ABDOMEN

Living with a permanent stoma has negative and stressful impact on patient's mind, health and body and having a pregnancy in such a condition is challenging for patient as well as treating obstetrician to give the best possible management and provide meticulous care to prevent further complications. Past studies have focused on fertility and conception but data on patient experience and outcome of pregnancy after stoma surgery is scarce . Such patients not only require meticulous post op care for preventing complications due to stoma but also psychosocial counselling to comply by the treatment . Future research is needed on the impact of surgical complications on psychology of the patient such as anxiety, depression and post-traumatic stress, as well as on how to support patients who experience a complicated postoperative recovery. Here is an exceptionally rare case of unicornuate uterus associated with dorsal pancreatic agenesis with colostomy done in a case of anorectal malformation with disuse atrophy of distal loop of colon with cystic lymphangioma with postoperative burst abdomen managed successfully