Challenges in the diagnosis and management of Robert's uterus: Systematic review and case presentation

J Clin Ultrasound. 2024 Jun;52(5):619-628. doi: 10.1002/jcu.23675. Epub 2024 Mar 28.

Abstract

Robert's uterus is a rare Müllerian duct anomaly (MDA) characterized by complete asymmetric septum dividing uterine cavity into two non-communicating parts. This study offers insights into diagnosing and management of this condition in a young patient, and a systematic literature review. The review included 19 studies from 2013 to 2023. 11.4% of women reported a history of miscarriage and 5.7% primary infertility. Dysmenorrhea was the most frequent symptom (54.3%), and 14.3% of patients had a coexisting endometriosis. The surgical interventions most commonly combine laparoscopic and hysteroscopic techniques. Robert's uterus requires heightened clinical awareness for early diagnosis, particularly in young women.

Keywords: dysmenorrhea; hematometra; hysteroscopy; laparoscopy; uterine anomalies.

Publication types

  • Systematic Review
  • Case Reports
  • Review

MeSH terms

  • Child
  • Female
  • Humans
  • Hysteroscopy / methods
  • Mullerian Ducts / abnormalities
  • Mullerian Ducts / surgery
  • Urogenital Abnormalities / diagnostic imaging
  • Urogenital Abnormalities / surgery
  • Uterus* / abnormalities
  • Uterus* / diagnostic imaging
  • Uterus* / surgery

Supplementary concepts

  • Uterine Anomalies