OHVIRA syndrome obstetric patient for lower segment caesarean section: peri-operative considerations

OHVIRA syndrome is a rare congenital developmental condition manifested by uterus didelphys, lower genital tract obstruction and unilateral renal anomaly. We report a rare case of a full term obstetric patient with OHVIRA syndrome, posted for elective lower segment caesarean section. Peri-operative anaesthetic considerations in a patient with this syndrome have been described. The importances of systemic preoperative assessment and investigations to rule out associated anomalies have also been highlighted.