ObjectiveTo describe an unusual uterovaginal anomaly consisting of a vertical and lateral defect.DesignCase report depicting this rare anomaly.InterventionTo clearly define the anatomy and establish a patent outflow tract, an exploratory laparotomy was performed. The patient was found to have bicornuate uterus with an uterine septum extending to the cervix. An opening in this septum between the cavities was observed. Additionally a longitudinal and a transverse vaginal septum was noted.ResultsTo date the patient continues to have regular periods.ConclusionsIn cases of multiple fusion defects, an exploratory laparotomy may be necessary to establish the diagnosis.