Abstract
Bicornuate, septate, or arcuate uterus are common mullerian anomalies which account for 85% of such anomalies. A rare mullerian anomaly is an asymmetric septate uterus with hematometra, reported first by Robert H. A complete septum divides the uterine cavity into one non-communicating hemi-cavity with hematometra, while menstruation occurs from the other hemi-cavity. This may be misdiagnosed as a unicornuate uterus with a non-communicating horn with hematometra. Suspicion of this anomaly, diagnosis, and its management including reproductive outcomes poses a challenge as the anomaly itself is rarely reported. We present a 19-year-old girl with worsening dysmenorrhea due to Robert’s uterus who was managed by resection of the uterine septum and unification of the two hemi-cavities. Seven years later, she underwent in vitro fertilization, had an uncomplicated pregnancy, and delivered by caesarean section at term. Until date, only two successful pregnancy outcomes were reported with Robert’s uterus. With advances in imaging modalities and minimally invasive surgery, diagnosis of Robert’s uterus is early, and hysterolaparoscopy has now become the gold standard therapy.
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Abbreviations
- MRI:
-
Magnetic resonance imaging
- AVC:
-
Automated volume calculations
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Dr Rashmi Bagga Article writing
Dr Tanuja Muthyala Article writing
Dr Shalini Gainder Drafted the work
Dr Navdeep Kaur Drafted the work
Dr Subhas Chandra Saha Substantially revised article
Dr Pradip Kumar Saha Acquisition of Images
Dr Tulika Singh Acquisition of Images
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Explanation of why our manuscript should be published in the journal: Suspicion of Robert’s uterus, its diagnosis and management including reproductive outcomes poses challenge as the anomaly itself is rarely reported. Till date only two successful pregnancy outcomes had been reported with Roberts’ uterus.
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Bagga, R., Muthyala, T., Gainder, S. et al. Live Birth After Metroplasty and Assisted Reproduction in Robert’s Uterus—a Precious Pregnancy Rarely Reported: Case Presentation. SN Compr. Clin. Med. 3, 722–725 (2021). https://doi.org/10.1007/s42399-021-00726-5
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DOI: https://doi.org/10.1007/s42399-021-00726-5