Ectopic pregnancy is the leading cause of mortality in early pregnancy, the incidence of ectopic pregnancy is estimated to be between 1-2%. The majority of these pregnancies are located in the fallopian tube. Rarely interstitial pregnancy implanted in the interstitial part of the fallopian tube. It is associated with higher mortality due to massive intra peritoneal haemorrhage. This data collected from the government general hospital, Rangaraya medical college. The incidence of interstitial pregnancies is 2-4% of all tubal pregnancies or 1 in 3000 to 5000 live births. This case presented to our labour room. She was a 33 years old lady G4P2L2A1 with 4 months amenorrhoea with severe pain abdomen and giddiness. General examination showed she is a conscious and coherent. Grossly pale with haemoglobin of 4 grams, blood pressure of 80/60mmHg. There was abdominal distension, tenderness and guarding. pervaginal examination showed tender cervical movements with fullness of pouch of douglas, exact size of uterus could not be made out. Case was diagnosed as ruptured ectopic gestation on right side. Ultra sound suggestive of ruptured ectopic pregnancy. Patient was taken for emergency laparotomy haemoperitonium of 2500ml noted fetus of 14 weeks with intact gestation sac seen in the peritoneal cavity, ruptured noted on the right cornual region, cornual resection and rent repair was done along with right Salpingo oophorectomy. Postoperative period uneventful.

Horse Shoe Kidney was first recognized during an autopsy by De Carpi in 1521. This anomaly consists of two distinct renal masses lying vertically on either side of the midline and connected at their respective lower poles by a parenchymatous or fibrous isthmus that crosses the mid plane of the body. This isthmus lies at the level of 4th lumbar vertebra just beneath the origin of inferior mesenteric artery in about 40% of cases. Fusion of upper poles instead of the lower poles results in an inverted horse Shoe Kidney which constitute 5-10% of ail HorseShoe kidneys, (i.e. in 95% of HSK, fusion is at lower poles). HSK is found more commonly in males by a 2:1 margin. AIM OF STUDY: An attempt has been made to know the various anomalies. The study has been taken up with the fond hope of helping the clinician, sonologist, and surgeons during their routine work. To apply this knowledge to the incoming post graduates in their research works. EMBRIOLOGICAL BASIS & KDNEY: The abnormality originates between 4th and 6th weeks of gestation, after the ureteral bud has entered the renal blastema. Boyden (1931) postulated that at the 14mm stage (4.5 weeks) the developing metanephric masses lie close to one another, any disturbance in their relationship may result in joining at their inferior poles. A slight alteration in the position of the umbilical or common iliac artery could change the orientation of migrating kidneys thus leading to contact and fusion. In 1941 Dees (Nation 1945, Bell 1946, Gleen 1959, Campbell 1970) described horseshoe kidney disease occurrence in 0.25% of the population or about 1 in 400. OBSERVATION: In the present study 176 specimens of kidneys were studied out of which 40 were fetal specimens and the rest were adult specimens consisting of both cadaveric and sonograms. The adult specimens from cadavers were 76 and 60 from sonograms. MATERIAL & METHODS: Abdomen is opened; superficial viscera and coils of intestine removed to get a clear view of posterior abdominal organs and anomalies are noted. SUMMARY & CONCLUSION: The abnormality originates between 4th and 6th weeks of gestation, after the ureteral bud has entered the renal blastema. Boyden (1931) postulated that at the 14mm stage (4.5weeks) the developing metanephric masses lie close to one another, any disturbance in their relationship may result in joining at their inferior poles. Usually the fusion of the both kidneys occurs before they have rotated on their long axis, thus pelvis and ureters of HSK are being usually placed anteriorly. Rarely, fusion occurs after some rotation had already taken place in which case the pelves are anterimedialy placed. KEYWORDS: horse shoe kidney 1 , unilateral fused Kidney 2 , nephrolithisis 3 , autopsies 4 .