Diagnosis and treatment of Robert's uterus combined with transverse uterine septum: a case report and review of the literature

作者全名："Chen, Mingqian; Yang, Xiaoyu; Zhang, Bin; Fu, Jialiang; Lan, Yi; Chi, Yugang"

作者地址："[Chen, Mingqian; Yang, Xiaoyu; Lan, Yi; Chi, Yugang] Chongqing Med Univ, Women & Childrens Hosp, Chongqing Hlth Ctr Women & Children, Dept Obstet & Gynecol, Chongqing, Peoples R China; [Zhang, Bin] Chongqing Med Univ, Chongqing Hlth Ctr Women & Children, Dept Ultrasound, Women & Childrens Hosp, Chongqing, Peoples R China; [Fu, Jialiang] Chongqing Med Univ, Chongqing Hlth Ctr Women & Children, Dept Radiol, Women & Childrens Hosp, Chongqing, Peoples R China"

通信作者："Lan, Y; Chi, YG (通讯作者)，Chongqing Med Univ, Women & Childrens Hosp, Chongqing Hlth Ctr Women & Children, Dept Obstet & Gynecol, Chongqing, Peoples R China."

来源：FRONTIERS IN MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001290995400001

JCR分区：Q1

影响因子：3.9

年份：2024

卷号：11

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：Robert's uterus; transverse uterine septum; asymmetric septate uterus; uterine malformation; hysteroscopic metroplasty

摘要："Background Robert's uterus combined with transverse uterine septum is a rare uterine malformation. Only one case has been reported to date, and it is challenging to diagnose and treat.Case presentation Here we report the case of a 19-year-old female had undergone multiple treatments at a previous hospital for primary amenorrhea and periodic lower abdominal pain, with the cause remaining unclear. Ultrasonography and magnetic resonance imaging conducted at our hospital displayed the presence of uterine dysplasia with an incomplete septum. Following a multidisciplinary discussion, a preliminary diagnosis of Robert's uterus combined with transverse uterine septum was made. Following this, laparoscopic exploration and ultrasound-guided hysteroscopic metroplasty were performed. The patient experienced periodic menstruation postoperatively and did not manifest periodic lower abdominal pain.Conclusion Robert's uterus combined with transverse uterine septum is a very rare uterine malformation, with hysteroscopic metroplasty being the preferred surgical option. Nevertheless, preoperative diagnosis is extremely difficult, and there are also many difficulties in the surgical process. This case outlines the diagnostic and treatment process of a patient with Robert's uterus and transverse uterine septum. It is of great significance to fill the gap in clinical diagnosis and treatment of this special uterine malformation."

基金机构：Chongqing Health Appropriate Technology Promotion Project [2022jstg014]; Chongqing Young and Middle-aged Medical High-end Talent Project; Chongqing Education Commission Key Project [KJZD-K202300407]

基金资助正文："The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This work was supported by the Chongqing Health Appropriate Technology Promotion Project (2022jstg014); Chongqing Young and Middle-aged Medical High-end Talent Project; and Chongqing Education Commission Key Project (KJZD-K202300407)."