Magnetic Resonance Imaging (MRI) Depiction of Robert’s Uterus: A Rare Müllerian Duct Anomaly Presenting with Cyclical Pain in Young Menstruating Woman

Mittal, Prabhat; Gupta, Ranjana; Mittal, Amit; Taneja, Arpit; Sekhon, Preetparkash Singh; Gupta, Sharad

doi:10.12659/pjr.900436

Cited by 7 publications

(18 citation statements)

References 9 publications

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“…Three-dimensional ultrasound and magnetic resonance imaging are suggested as being useful for evaluating Robert’s uterus. 6,7 In the differential diagnosis, a unicornuate uterus with non-communicating rudimentary horn should be considered.…”

Section: Discussionmentioning

confidence: 99%

Robert’s uterus with delayed diagnosis and potential consequences: a case report

et al. 2021

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A 24-year-old woman who wished to become pregnant presented to our hospital with an enlarged ovarian endometrioma and developmental abnormality of the uterus. Robert’s uterus complicated by hematosalpinx, ovarian endometrioma, and endometriosis were finally identified 1 year after previously being diagnosed with a cyst and uterine abnormality at a local hospital. The function of the salpinx and the pelvic environment were damaged because of the delayed diagnosis and operation. Gynecologists and sonologists should be aware of and alert to this rare entity while evaluating and managing cases of uterine abnormalities and endometriosis. Prompt early diagnosis and proper management of Robert’s uterus are important for avoiding future morbidity because these are major factors in protecting fertility.

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Section: Discussionmentioning

confidence: 99%

Robert’s uterus with delayed diagnosis and potential consequences: a case report

et al. 2021

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“…Most patients complained of dysmenorrhea, periodic abdominal pain, abnormal menstruation, abortion, or infertility. Twenty-two cases were conducted in our systematic reviewed literature (Table 1), 20/22 cases (81.82%) underwent dysmenorrhea [2,[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19], 3/22 cases (13.64%) abortion [4,7,20], one case endured infertility [14]. It is noted that intractable dysmenorrhea seems to associate with haematometra for the identical existence.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical option may determine by the factors of age and fertility desire of patient. The prime targets are drainage of hematometra and prevention of its recurrence through septal resection [11]. Laparoscopic septum resection and metroplasty seems to be considerable for the minimal invasion, especially for the adolescent girl.…”

Section: Discussionmentioning

confidence: 99%

“…In twenty-one cases of Robert's uterus involved surgery (Table 2), 13/21 cases (61.90%) were performed septal resection by laparoscopy, hysteroscopy or laparotomy. 11/21 cases (52.38%) of endometriosis have been documented in patients performed laparoscopy or hysteroscopy [7,8,10,11,13,14]. There is prevalence in laparoscopy-guided hysteroscopic metroplasty recently for the advantage of security and less invasion, one case underwent hysterectomy due to no fertility requirement.…”

Section: Discussionmentioning

confidence: 99%

“…Hysteroscopic surgery performed by experienced surgeons is essential for the complicated environment in uterus. At present, the main surgical methods reported in the literature are hysteroscopy or hysteroscopy combined with laparoscopic surgery [8,10,11]. Laparoscopy can deal with hematosalpinx, pelvic adhesions, and endometriosis, which cannot be evaluated by auxiliary examination.…”

Section: Discussionmentioning

confidence: 99%

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Intrauterine Adhesions Combined with Robert's Uterus : A Case Report and Literature Review

Gao

Zhang

Zhu

et al. 2021

Preprint

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Background: Robert's uterus, a rare congenital abnormality of Mullerian duct development, has oblique septum and non-communicating asymmetric hemi-cavity. Key clinical characterization of the congenital disorder is presence of hematometra and severe dysmenorrhea, some patients experience acute abdominal pain in association with menstruation. Due to the difficulty of preoperative diagnosis and high rate of misdiagnosis, Preoperative assessment matters the choice of emergency surgery and avoid a second surgery. No systematic literature review in detail has been reported previously.Case presentation: We reported a rare case of Robert’s uterus with severe abdominal pain during menstruation, in which the patient initially underwent emergency laparoscopic right ovarian cystectomy, right salpingectomy, and pelvic adhesiolysis on suspicion of ovarian teratoma torsion. However, dysmenorrhea still existed or even aggravated after the operation, hysteroscopic surgery was performed three month later, which revealed two asymmetric uterine cavities, hematometra was located in the right-side blind cavity, and thus diagnosed as Robert’s uterus and severe uterine adhesion, which, to our knowledge, has not been reported previously. Hysteroscopic incision of the septum and intrauterine adhesion were performed. Subsequently, Two-year follow-up showed no obvious dysmenorrhea recurrence. Conclusion: Robert's uterus is uncommon but can mimic other common and acute abdominal disease. Advance imaging technologies, such as three-dimensional ultrasound and magnetic resonance imaging combined with hysteroscopy and laparoscopy are less invasive for diagnosis and treatment of Robert’s uterus. Septal resection is main surgical procedure, combining laparoscopy and hysteroscopy is conducive and less invasive treatment.

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

Gulino,

Occhipinti,

Ettore

et al. 2024

J of Clinical Ultrasound

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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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Magnetic Resonance Imaging (MRI) Depiction of Robert’s Uterus: A Rare Müllerian Duct Anomaly Presenting with Cyclical Pain in Young Menstruating Woman

Cited by 7 publications

References 9 publications

Robert’s uterus with delayed diagnosis and potential consequences: a case report

Robert’s uterus with delayed diagnosis and potential consequences: a case report

Intrauterine Adhesions Combined with Robert's Uterus : A Case Report and Literature Review

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

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