Robert's uterus is a rare Müllerian duct anomaly (MDA) characterized by complete asymmetric septum dividing uterine cavity into two non-communicating parts. This study offers insights into diagnosing and management of this condition in a young patient, and a systematic literature review. The review included 19 studies from 2013 to 2023. 11.4% of women reported a history of miscarriage and 5.7% primary infertility. Dysmenorrhea was the most frequent symptom (54.3%), and 14.3% of patients had a coexisting endometriosis. The surgical interventions most commonly combine laparoscopic and hysteroscopic techniques. Robert's uterus requires heightened clinical awareness for early diagnosis, particularly in young women.
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Robert's uterus treated with ultrasound-guided laparoscopy and hysteroscopy: a case report.
J Int Med Res
January 2025
Department of Gynecology, The Third People's Hospital of Yunnan Province, Guandu District, Kunming, China.
We report the case of a woman in her early 30 s who was diagnosed with Robert's uterus. She had been experiencing progressive dysmenorrhea for a decade and sought treatment for infertility at our hospital. Preoperative ultrasound imaging resulted in a misdiagnosis of a complete uterine septum with an accompanying ovarian cyst.
View Article and Find Full Text PDFPregnancy after Tompkins metroplasty for Robert's uterus.
BMJ Case Rep
January 2025
Obstetrics and Gynaecology, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK
Two patients of early adolescence age presented with medically resistant primary dysmenorrhoea. Imaging (MRI scan) confirmed an asymmetric uterine septum with a unilaterally obstructed horn with haematometra. Laparotomy and Tompkins metroplasty was performed to unify the uterine cavity in each case, a technique not used for this condition before.
View Article and Find Full Text PDFLaparoscopy combined with hysteroscopy in the treatment of Robert's uterus accompanied by adenomyosis: A case report.
World J Clin Cases
September 2024
Department of Gynecology, Huzhou Maternity & Child Health Care Hospital, Huzhou 313000, Zhejiang Province, China.
Article Synopsis
- Gynaecologists should recognize rare conditions like Robert's uterus, as they may require surgical intervention for proper treatment.
- A 41-year-old mother with Robert's uterus experienced a unique late onset of symptoms, previously undergoing treatment for a related ectopic pregnancy before successfully receiving laparoscopic and hysteroscopic treatment.
- Combining laparoscopy and hysteroscopy is an effective, minimally invasive surgical approach that offers superior recovery compared to traditional open surgery for managing obstructive Mullerian anomalies.
Diagnosis and treatment of Robert's uterus combined with transverse uterine septum: a case report and review of the literature.
Front Med (Lausanne)
August 2024
Department of Obstetrics and Gynecology, Women and Children's Hospital of Chongqing Medical University (Chongqing Health Center for Women and Children), Chongqing, China.
Background: Robert's uterus combined with transverse uterine septum is a rare uterine malformation. Only one case has been reported to date, and it is challenging to diagnose and treat.
Case Presentation: Here we report the case of a 19-year-old female had undergone multiple treatments at a previous hospital for primary amenorrhea and periodic lower abdominal pain, with the cause remaining unclear.
A new treatment for Robert's uterus with adenomyosis: a case report and review of the literature.
BMC Womens Health
August 2024
Gynecology Department, Xuan Cheng People's Hospital, Xuan Cheng, An hui Province, China.
Purpose: To provide a method for the differential diagnosis of Robert's uterus with adenomyosis, a rare uterine malformation, and determine the best course of treatment.
Methods: A patient who had Robert's uterus with adenomyosis was admitted to our hospital in December 2022. We analyzed and summarized her case .
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