Live Birth After Metroplasty and Assisted Reproduction in Robert’s Uterus—a Precious Pregnancy Rarely Reported: Case Presentation

Bagga, Rashmi; Muthyala, Tanuja; Gainder, Shalini; Kaur, Navdeep; Saha, Subhas Chandra; Singh, Paramjit; Singh, Tulika

doi:10.1007/s42399-021-00726-5

Cited by 1 publication

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A live birth in an individual with a Robert’s uterus is a rare phenomenon, with only three cases described to date 12. The evidence on the associated reproductive outcomes is derived from small heterogeneous studies that report different clinical endpoints and often do not account for the anatomical variations of unicornuate uterus 13.…”

Section: Discussionmentioning

confidence: 99%

“…She underwent resection of the uterine septum and unification of the two hemicavities. Seven years postoperatively, she underwent assisted reproduction and delivered a live baby by caesarean section at term 12. Vural et al described a favourable pregnancy outcome at 39-week gestation in a 24-year-old woman who underwent an endometrectomy through a hysterotomy incision for a Robert’s uterus 14.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Robert’s uterus (asymmetric septate uterus): a rare congenital Müllerian duct anomaly

et al. 2022

View full text Add to dashboard Cite

Müllerian anomalies such as Robert’s uterus, which was first described by the French gynaecologist Dr Helene Robert in 1969, are rare clinical entities and have been reported in <3% of the female population. Robert’s uterus is a rare phenomenon with a relative dearth of reported cases. Affected individuals may present with pelvic pain and dysmenorrhoea that intensifies near menses or acutely, with severe abdominal pain to the emergency department. They are also associated with adverse pregnancy outcomes, abnormal fetal presentation, preterm labour, recurrent pregnancy loss and infertility. Although ultrasound has a role in its initial assessment, MRI is the best modality to further delineate its anatomy. It is typically managed via laparotomy and total horn resection, endometrectomy of the blind cavity or abdominal metroplasty. The authors present the case of a 40-year-old woman at 19+3 weeks gestation with acute onset of left-sided abdominal pain. A transvaginal ultrasound and MRI of the pelvis confirmed a Robert’s uterus with a viable pregnancy in the upper left horn. She developed a ruptured horn with significant haemoperitoneum. An emergency laparotomy was performed and a non-viable fetus was evident. Only a few cases of pregnancy in the blind hemicavity have been reported so far. This case also highlights the importance of considering this diagnosis in young females presenting with dysmenorrhoea and normal menstrual flow. It is imperative to render a prompt diagnosis, as minimally invasive procedures may be more effective if detected before the formation of adnexal endometriomas.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%