Challenges in the diagnosis and management of Robert's uterus: Systematic review and case presentation

Author:

Gulino Ferdinando Antonio1ORCID,Occhipinti Sara2,Ettore Carla2,Incognito Giosuè Giordano2ORCID,Russo Emanuele2,Cannone Francesco Giuseppe2,Ettore Giuseppe2

Affiliation:

1. Department of Obstetrics and Gynaecology University of Messina Messina Italy

2. Department of Obstetrics and Gynaecology ARNAS “Garibaldi” Hospital Catania Italy

Abstract

AbstractRobert'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.

Publisher

Wiley

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