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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (5): 1219-1223    DOI: 10.31083/j.ceog4805194
Case Report Previous articles | Next articles
Intraoperative management of a Robert's uterus without hematometra in blind hemi-cavity preoperatively misdiagnosed as septate uterus
Ji-Chen Wang1, De-Ying Wei2, Chen Su3, Qi Han4, Yong-Hao Gai1, 3, *()
1Department of Ultrasound, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, 250021 Jinan, Shandong, China
2Department of Gynecology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 250021 Jinan, Shandong, China
3Department of Ultrasound, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 250021 Jinan, Shandong, China
4Department of Ultrasound, Maternity & Child Care Center of Dezhou, 253000 Dezhou, Shandong, China
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Abstract  
Background: Robert's uterus is a rare müllerian duct anomaly described as an asymmetric septate uterus with a noncommunicating cavity. Its main presentation is recurrent cyclical abdominal pain. However, patients with Robert's uterus may present with recurrent pregnancy loss and infertility. Case: We herein report a rare presentation of Robert's uterus in a 23-year-old woman who suffered from primary infertility without a history of dysmenorrhea. Preoperative two-dimensional ultrasound (2D-US) suggested that the patient only had a partial septate uterus. A hysteroscopy found only the right side of the uterine cavity with a narrow channel while the left uterine cornua and left tubal ostium were not visualized. Intraoperative transabdominal 2D-US confirmed that there were two uterine cavities, a blind hemi-cavity, and a contralateral communicating hemi-cavity. Subsequently, the asymmetric septum was successfully removed by ultrasound-guided hysteroscopy. Conclusion: For patients diagnosed with septate uterus by 2D-US, three-dimensional ultrasound or magnetic resonance imaging is required to make a definitive diagnosis and to help with surgical planning. If results are inconclusive, intraoperative ultrasound-guided hysteroscopic metroplasty may be a reliable pathway for the definitive diagnosis and treatment of Robert's uterus.
Key words:  Müllerian anomaly      Robert's uterus      Septate uterus      Ultrasound     
Submitted:  20 October 2020      Revised:  18 December 2020      Accepted:  23 December 2020      Published:  15 October 2021     
Fund: 
2020FY006/Scientific Research Foundation of Shandong Provincial Hospital Affiliated to Shandong First Medical University
*Corresponding Author(s):  Yong-Hao Gai     E-mail:  gailaoshitougao@163.com

Cite this article: 

Ji-Chen Wang, De-Ying Wei, Chen Su, Qi Han, Yong-Hao Gai. Intraoperative management of a Robert's uterus without hematometra in blind hemi-cavity preoperatively misdiagnosed as septate uterus. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1219-1223.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog4805194     OR     https://ceog.imrpress.com/EN/Y2021/V48/I5/1219

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