DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20175304

Roberts uterus: a rare congenital anomaly

Nagendra Sardeshpande, Pratima Chipalkatti, Jainesh Doctor

Abstract


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.


Keywords


Congenital anomaly, Robert's uterus

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References


Acién P. Incidence of Mullerian defects in fertile and infertile women. Hum Reprod 1997;12(7):1372-6.

Capito C, Sarnacki S. Menstrual retention in a Robert's uterus, J Pediatr Adolesc Gynecol. 2009;22(5):e104-6.

Benzineb N, Bellasfar M, Merchaoui J, Sfar R. Robert's uterus with menstrual retention in the blind cavity. J Gynaecol Obstet Biol Reprod. 1993;22(4):366-8.

Gupta N, Mittal S, Misra R. A unique congenital mullerian anomaly Robert's uterus. Arch Gynaecol Obstet. 2007;276(6):641-3.

Behr SC, Courtier JL, Qayyum A. Imaging of müllerian duct anomalies. Radiographics 2012;32:E233-50.

Marcal L, Nothaft MA, Coelho F, Volpato R, Iyer R. Mullerian duct anomalies: MR imaging. Abdom Imaging. 2011;36(6):756-64.

Bermejo C, Ten MP, Cantarero R, Diaz D, Pérez Pedregosa J, Barrón E. Three-dimensional ultrasound in the diagnosis of Mullerian duct anomalies and concordance with magnetic resonance imaging. Ultrasound Obstet Gynecol. 2010;35(5):593-601.

Takeuchi H, Sato Y, Shimanuki H, Kikuchi I, Kumakiri J, Kitade M, Kinoshita K. Accurate preoperative diagnosis and laparoscopic removal of the cavitated non-communicated uterine horn for obstructive Mullerian anomalies. J Obstet Gynaecol Res. 2006;32(1):74-9.

Perino A, Chianchiano N, Simonaro C, Cittadini E, Endoscopic management of a case of complete septate uterus with unilateral hematometra. Human Reprod. 1995;10(8):2171-3.

Vural M, Yildiz S, Cece H, Camuzcuoglu H. Favourable pregnancy outcome after endometrectomy for a Robert's uterus. J Obstet Gynaecol. 2011;31(7):668-9.

Chandra M, Pathak V. Pregnancy in non-communicating half of septate uterus. J Obstet Gynaecol India. 2012;62(1):31.