Inappropriate surgery in a patient with misdiagnosed Robert’s uterus

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 wo...

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Bibliographic Details
Published in:BMC women's health 2021-07, Vol.21 (1), p.1-264, Article 264
Main Authors: Kisu, Iori, Nakamura, Kanako, Shiraishi, Tetsuro, Iijima, Tomoko, Iijima, Moito, Matsuda, Kiyoko, Hirao, Nobumaru
Format: Article
Language:English
Subjects:
Abdomen
Asymmetry
Case Report
Case reports
Cervix
Congenital diseases
Disease
Dysmenorrhea
Endometrium
Infertility
Laparoscopy
Magnetic resonance imaging
Menstruation
Mullerian anomaly
Pain
Quality of life
Robert’s uterus
Rudimentary horn
Septate uterus
Surgery
Unicornuate uterus
Uterus
Womens health
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Summary: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.
ISSN:1472-6874
1472-6874
DOI:10.1186/s12905-021-01404-3