Müllerian tract anomalies are defined as deviations from normal anatomy resulting from embryological mal development of the Müllerian system or paramesonephric ducts. The Herlyn-WernerWunderlich syndrome (HWWS) is one of these anomalies, it associated didelphys uterus, unilateral obstructed hemivagina, and ipsilateral renal agenesis. Association between cervical cancer and HWWS is an uncommon condition in clinical practice. We present a case of a 65-year-old female, gravida 11, para 7,with no symptoms in young adulthood or teenager in relation to didelphys uterus, was admitted with atypical genital bleeding that had continued for seven months. Surgical treatment, with systematic pelvic and para aortic nodal dissection, with poor prognostic factors, she is chemoradiotherapy treatment. The primary surgical treatment is encouraged, because we can get prognostic factors and search for other congenital malformation

Keywords : Müllerian duct anomalies; uterine didelphys; ipsilateral renal agenesis; obstructed hemivagina; epidermoid carcinoma, cervical cancer.