Virtual hysterosalpingography in the diagnosis of bicornuate versus septate uterus

Abstract 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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Clinical characteristics and management of patients with complete septate uterus, double cervix, obstructed hemivagina, and ipsilateral renal agenesis

Journal of Obstetrics and Gynaecology Research ◽

10.1111/jog.14662 ◽

2021 ◽

Author(s):

Shuijing Yi ◽

Jianfa Jiang

Keyword(s):

Clinical Characteristics ◽

Renal Agenesis ◽

Septate Uterus ◽

Obstructed Hemivagina

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Is hysteroscopic metroplasty using the incision method for septate uterus a risk factor for adverse obstetric outcomes?

Journal of Obstetrics and Gynaecology Research ◽

10.1111/jog.13884 ◽

2019 ◽

Vol 45 (3) ◽

pp. 634-639 ◽

Cited By ~ 1

Author(s):

Shuichi Ono ◽

Yoshimitsu Kuwabara ◽

Shigeru Matsuda ◽

Mirei Yonezawa ◽

Kenichiro Watanabe ◽

...

Keyword(s):

Risk Factor ◽

Obstetric Outcomes ◽

Septate Uterus

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Roberts uterus: a rare congenital anomaly

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20175304 ◽

2017 ◽

Vol 6 (12) ◽

pp. 5657

Author(s):

Nagendra Sardeshpande ◽

Pratima Chipalkatti ◽

Jainesh Doctor

Keyword(s):

Congenital Anomaly ◽

Abdominal Pain ◽

Adnexal Mass ◽

Lower Abdominal Pain ◽

Uterine Horn ◽

Transabdominal Ultrasound ◽

Septate Uterus ◽

Bicornuate Uterus ◽

Rare Congenital Anomaly ◽

Hysteroscopic Resection

A 23-year-old girl presented with severe cyclical lower abdominal pain during menstruation since menarche, which had increased since the last 4 years. Transabdominal ultrasound showed adnexal mass with no internal vascularity; MRI reported it as bicornuate uterus with one non-communicating right uterine horn with haematometra. On hysteroscopy there was evidence of septate uterus communicating only to the left ostia. Ultrasonography-guided hysteroscopic resection of septa with drainage of haematometra was done. Patient is presently asymptomatic.

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