Pregnancy in Non-communicating Half of Septate Uterus

Chandra, Madhuri; Pathak, Varuna

doi:10.1007/s13224-013-0369-3

Cited by 7 publications

(6 citation statements)

References 2 publications

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“…Case reports of post-operative childbirth are limited [ 7 , 9 , 13 , 21 , 22 ], and the effect on pregnancy remains unclear. There are also a few reports of a rare complication of Robert’s uterus manifesting with pregnancy in a blind cavity, resulting in stillbirth associated with transperitoneal migration of sperms to the contralateral tube [ 23 , 24 ]. Therefore, more long-term observations are necessary for the assessment of the reproductive outcomes of Robert’s uterus and its management in women.…”

Section: Discussionmentioning

confidence: 99%

Inappropriate surgery in a patient with misdiagnosed Robert’s uterus

et al. 2021

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Background Robert’s uterus is a rare Mullerian anomaly, which can be described as an asymmetric, septate uterus with a non-communicating hemicavity. Herein, we present the case of a misdiagnosed Robert’s uterus, resulting in an invasive and disadvantageous surgery. Case presentation A 16-year-old woman was referred to our department because of dysmenorrhea and suspicion of uterine malformation. We misdiagnosed Robert’s uterus as a unicornuate uterus with a non-communicating rudimentary horn and hematometra, and performed laparoscopic hemi-hysterectomy. Although the patient’s symptoms were relieved, our surgical procedure left the lateral uterine wall weak, making the patient’s uterus susceptible to uterine rupture in any future pregnancy. Conclusions Although the early diagnosis of Robert’s uterus is challenging, it is important in order to determine appropriate surgical interventions and management for maintaining the quality of life and ensuring safety in future pregnancies.

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Section: Discussionmentioning

confidence: 99%

Inappropriate surgery in a patient with misdiagnosed Robert’s uterus

et al. 2021

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“…[ 4 ] Very few cases of pregnancy in the noncommunicating half of the uterus have also been reported. [ 5 6 ]…”

Section: Discussionmentioning

confidence: 99%

Robert's Uterus-Rare Cause of Intractable Dysmenorrhea and Chronic Pelvic Pain

Nigam

Basanti

Sharma

et al. 2021

Journal of Human Reproductive Sciences

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Robert's uterus is a rare type of congenital uterine anomaly where septum divides the uterine cavity asymmetrically resulting in the formation of a noncommunicating hemiuterus. Patients may present with recurrent pain, dysmenorrhea, recurrent abortions, and infertility. They are often misdiagnosed as unicornuate uterus with a noncommunicating horn. Thirty-year nulliparous female with history of severe dysmenorrhea since her menarche for which she had been operated thrice with no relief, presented with severe abdominal pain. Magnetic resonance imaging findings were suggestive of possibility of accessory horn with left hematosalpinx and hemorrhagic fluid in pelvis. Intraoperatively, it was found to be thick uterine septum completely dividing the uterine cavity asymmetrically with no communication with cervix indicative of Robert's uterus.

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“…11 Very rarely pregnancy in non-communicating horn of Robert's uterus can occur due to trans peritoneal migration of sperms. 12…”

Section: Discussionmentioning

confidence: 99%

Robert’s uterus: a rare mullerian anomaly mystery unfolded

Devi¹,

Devi²

2020

Int J Reprod Contracept Obstet Gynecol

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Anomalies of female genital tract may not be detected until after menarche when they present a cyclical pain due to outlet obstruction. Mullerian anomalies represent a vast array of structural abnormalities resulting from improper development and fusion of embryological mullerian ducts. 19-year-old girl attained menarche at the age of 14, had progressive dysmenorrhoea and diagnosed as right haemotosalphinx and ovarian endometrioma which were removed in 2008. As pain progressed, she underwent laparoscopic adhesiolysis in 2013. Since, pain persisted, diagnosed as right haematometra, and drainage done by laparotomy. Left adnexa were normal. She was given depot provera till she completed schooling. She developed recurrent dysmenorrhoea after stopping depot provera. USG and MRI revealed recurrent haematometra on right side with normal left horn. The possibility of atypical septum was thought about and hystero laparoscopy was done. It showed right side haemetometra with absent right adnexa. Left adnexa normal. Hysteroscopy showed normal left horn with septum with a bulge towards the left side. Hence, proceeded with hysteroscopic septostomy and haemetometra was drained to the left horn. Later patient was free from dysmenorrhea and repeat hysteroscopy was found to be normal. This case highlighting mullerian anomalies have to be considered when young girls present with severe progressive dysmenorrhoea and diagnosis remains a challenge most of the clinicians. This rare entity has to be kept in mind while evaluating such patients. Prompt diagnosis and early surgical correction are essential to avoid future morbidity in the form of repeated unnecessary surgeries.

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Pregnancy in Non-communicating Half of Septate Uterus

Cited by 7 publications

References 2 publications

Inappropriate surgery in a patient with misdiagnosed Robert’s uterus

Inappropriate surgery in a patient with misdiagnosed Robert’s uterus

Robert's Uterus-Rare Cause of Intractable Dysmenorrhea and Chronic Pelvic Pain

Robert’s uterus: a rare mullerian anomaly mystery unfolded

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