Angular pregnancy is a unique condition, which may be associated with both foetal and placental abnormalities, as well as preterm labour and retained placenta. Ultrasound is a useful tool in deciding feasibility of manual removal placenta by ruling out adherent placenta. A twenty five years primipara, five hours following preterm vaginal delivery, at 31 weeks of gestation presented with retained placenta. Uterus was well retracted with minimal bleeding, on trans-abdominal ultrasonography placenta accreta was ruled out. After stabilising, she had hysterotomy and placenta was removed which was bilobed. Neonate had cardiac and renal anomaly and succumbed at the end of one month of life. In young women prime priority is to preserve the uterus, by conservative approach as in our case
