Case ReportMenstrual Retention In a Robert's Uterus
Introduction
Obstructive Müllerian anomalies are frequently misdiagnosed during childhood. Robert's uterus, or an asymmetric septate uterus, is a rare cause of dysmenorrhea. We present herein a representative case of this atypical Müllerian malformation and discuss its management.
Section snippets
Case
A 15-year-old girl consulted the emergency department for severe abdominal and pelvic cramps associated with clear vomitus five days after her menses. She had regular menstrual cycles for 3 years and this was the third episode of paroxystic pain within 9 months. Clinical examination revealed pelvic tenderness without a mass and no fever. An abdominal and pelvic ultrasound scan showed a 38-mm cystic pelvic mass independent of the ovaries, which were normal. Exploration of the lumbar regions
Summary and Conclusions
Robert's uterus is a rare Müllerian malformation, first described by Robert in 1969.1 It represents an asymmetric division of the uterine cavity. The blind hemi-cavity is lined by the endometrium. Relevant data in the literature consist of case reports2, 3, 4, 5 from which it is difficult to draw conclusions. The classical clinical presentation includes dysmenorrhea attributed to menstrual bleeding and stretching of the blind cavity. In our patient, the blind cavity did not apparently
References (9)
- et al.
Pregnancy in asymmetric blind hemicavity of Robert's uterus–a previously unreported phenomenon
Eur J Obstet Gynecol Reprod Biol
(2003) - et al.
Laparoscopic management of juvenile cystic adenomyoma of the uterus: report of two cases and review of the literature
J Minim Invasive Gynecol
(2007) [Asymmetrical bifidities with unilateral menstrual retention (apropos of l2 cases)]
Chirurgie
(1970)- et al.
[Robert's uterus with menstrual retention in the blind cavity]
J Gynecol Obstet Biol Reprod (Paris)
(1993)
Cited by (19)
Pregnancy in the blind hemi-cavity of Robert's uterus: a case report
2021, Radiology Case ReportsCitation Excerpt :Classical clinical presentation of Robert's uterus includes irregular menstrual cycle and progressive dysmenorrhea attributed to the rising pressure of the blind cavity [2,3]. The blind uterine cavity communicates with the ipsilateral fallopian tube and permits a small amount of menstrual blood flow into the peritoneal cavity, which might be the reason for the occurrence of endometriosis [9,10]. Contrary to the presentation in existing reports, the absence of similar clinical symptoms and focal placenta accreta on the wall of the blind cavity in the present case may suggest that the partially functional endometrial cavity played an important role in the patient's condition.
Misdiagnosed Roberts Uterus Leading to Surgical Misadventures
2017, Journal of Pediatric and Adolescent GynecologyCitation Excerpt :The patients might be asymptomatic, however, the most common presenting symptoms are dysmenorrhoea, dyspareunia, primary or secondary infertility, pregnancy loss, and obstetric complications. Robert's uterus or asymmetric septate uterus is a rare variant of the septate uterus, a unique congenital Müllerian anomaly first reported by Robert in 19703; so far very few cases have been reported in the literature.3,4 This is characterized by a complete septum, noncommunicating hemiuteri with 1 blind horn causing hematometra and 1 communicating hemiuterus with single cervix and a normal extrauterine morphology.
Intrauterine adhesions combined with Robert’s uterus: a case report and literature review
2022, Archives of Gynecology and ObstetricsOperative Hysteroscopy
2022, Practical Manual of HysteroscopyDiagnostic Hysteroscopy
2022, Practical Manual of Hysteroscopy