Abstract
Abstract
Background
Rbert’s uterus, also known as asymmetric septate uterus, is a rare genital malformation first reported by Dr. Robert in 1970. Robert’s uterus is characterized by a septate uterus with a blind hemicavity and an intact external fundus. According to some reports, Robert’s uterus was typically managed by laparoscopic uterine resection of a hemicavity, laparoscopic endometrectomy, and even hysterectomy. Considering that fertility preservation is important in young patients, we recommend ultrasound-guided hysteroscopic septum resection as an optimum treatment for Robert’s uterus.
Case presentation
Herein is described a clinical case of Robert’s uterus in a 15-year-old girl who was misdiagnosed for primary dysmenorrhea in the beginning. Magnetic resonance imaging (MRI) and 3-dimensional (3D) ultrasound identified an asymmetrical uterine septum. The patient was treated using ultrasound-guided hysteroscopic treatment without laparoscopy. The surgical procedure lasted less than an hour, and the symptoms of dysmenorrhea were relieved during a six months follow-up.
Conclusions
Ultrasound-guided hysteroscopic septum resection is the preferred treatment for Robert’s uterus.
Funder
Department of Health of Hebei Province
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology,Reproductive Medicine,General Medicine
Reference9 articles.
1. Di Spiezio SA, Campo R, Gordts S, Spinelli M, Cosimato C, Tanos V, et al. The comprehensiveness of the ESHRE/ESGE classification of female genital tract congenital anomalies: a systematic review of cases not classified by the AFS system. Hum Reprod. 2015;30(5):1046–58.
2. Acién P, Acién MI. The history of female genital tract malformation classifications and proposal of an updated system. Hum Reprod Update. 2011;17(5):693–705.
3. Robert H. Asymmetrical bifidities with unilateral menstrual retention. Chirurgie. 1970;96:796–9.
4. Deenadayal M, Günther V, Alkatout I, Freytag D, Deenadayal-Mettler A, Deenadayal Tolani A, et al. Critical role of 3D ultrasound in the diagnosis and management of Robert’s uterus: a single-centre case series and a review. Facts Views Vis Obgyn. 2021;13(1):41–9.
5. Rebelo T, Almeida e Sousa LA, Sampaio MG, Martins MJ, Santos AA. Asymmetric septate uterus with unilateral menstrual retention: A rare uterine malformation. Acta Med Port. 1997;10(10):721–4.
Cited by
4 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献