Hystero-laparoscopic communication of right non-communicating horn of Robert’s uterus in a 16-year-old girl with severe dysmenorrhea and hematometra: A case report
Robert’s uterus, first described in 1970, is a rare variant of a complete, oblique septate uterus characterized by a non-communicating hemi-cavity and a contralateral unicornuate cavity. This anomaly can lead to obstructed menstrual flow, resulting in hematometra and associated complications such a...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Manipal College of Medical Sciences, Pokhara
2025-05-01
|
| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://ajmsjournal.info/index.php/AJMS/article/view/4494 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850196390173474816 |
|---|---|
| author | Abhinibesh Chatterjee Polly Chatterjee Avishek Bhadra Rumela Biswas |
| author_facet | Abhinibesh Chatterjee Polly Chatterjee Avishek Bhadra Rumela Biswas |
| author_sort | Abhinibesh Chatterjee |
| collection | DOAJ |
| description | Robert’s uterus, first described in 1970, is a rare variant of a complete, oblique septate uterus characterized by a non-communicating hemi-cavity and a contralateral unicornuate cavity. This anomaly can lead to obstructed
menstrual flow, resulting in hematometra and associated complications such as hematosalpinx and endometriosis. We report a case of Robert’s uterus in a 16-year old girl presenting with severe dysmenorrhea and prolonged menstrual flow since menarche, highlighting the restoration of uterine anatomy. Previous magnetic resonance imaging indicated a Mullerian duct anomaly with a non-communicating rudimentary horn. After initial management involving hystero-laparoscopy and drainage of hematometra, she experienced recurrent dysmenorrhea. A second hystero-laparoscopic procedure revealed adhesions, and the non- communicating horn was surgically communicated with the main cavity. The patient was discharged with oral contraceptives, and follow-up ultrasound showed a normal sized uterus and regular, pain-free menstruation. Robert’s uterus arises from incomplete resorption of the uterine septum, leading to unique anatomical features and potential complications, including subfertility. Traditional management has included laparotomy; however, minimally invasive techniques such as hysteroscopy and laparoscopy are now preferred due to reduced surgical trauma and better preservation of fertility. |
| format | Article |
| id | doaj-art-dea99a00d0ea4cb28654fa359d0cea25 |
| institution | OA Journals |
| issn | 2467-9100 2091-0576 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj-art-dea99a00d0ea4cb28654fa359d0cea252025-08-20T02:13:28ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762025-05-01165145148https://doi.org/10.71152/ajms.v16i5.4494Hystero-laparoscopic communication of right non-communicating horn of Robert’s uterus in a 16-year-old girl with severe dysmenorrhea and hematometra: A case reportAbhinibesh Chatterjee 0https://orcid.org/0009-0005-3838-8498Polly Chatterjee1https://orcid.org/0009-0004-9779-1204Avishek Bhadra 2https://orcid.org/0009-0005-1537-5205Rumela Biswas 3https://orcid.org/0009-0007-2883-1833Consultant, Department of Gynaecology and Obstetrics, Eskag Sanjeevani Multispecialty Hospital, Kolkata, West Bengal, India Consultant, Department of Gynaecology and Obstetrics, Eskag Sanjeevani Multispecialty Hospital, Kolkata, West Bengal, India Associate Professor, Department of Gynaecology and Obstetrics, R. G. Kar Medical College and Hospital, Kolkata, West Bengal, India Postgraduate Resident, Department of Gynaecology and Obstetrics, Medical College, Kolkata, West Bengal, India Robert’s uterus, first described in 1970, is a rare variant of a complete, oblique septate uterus characterized by a non-communicating hemi-cavity and a contralateral unicornuate cavity. This anomaly can lead to obstructed menstrual flow, resulting in hematometra and associated complications such as hematosalpinx and endometriosis. We report a case of Robert’s uterus in a 16-year old girl presenting with severe dysmenorrhea and prolonged menstrual flow since menarche, highlighting the restoration of uterine anatomy. Previous magnetic resonance imaging indicated a Mullerian duct anomaly with a non-communicating rudimentary horn. After initial management involving hystero-laparoscopy and drainage of hematometra, she experienced recurrent dysmenorrhea. A second hystero-laparoscopic procedure revealed adhesions, and the non- communicating horn was surgically communicated with the main cavity. The patient was discharged with oral contraceptives, and follow-up ultrasound showed a normal sized uterus and regular, pain-free menstruation. Robert’s uterus arises from incomplete resorption of the uterine septum, leading to unique anatomical features and potential complications, including subfertility. Traditional management has included laparotomy; however, minimally invasive techniques such as hysteroscopy and laparoscopy are now preferred due to reduced surgical trauma and better preservation of fertility.https://ajmsjournal.info/index.php/AJMS/article/view/4494hystero-laparoscopic communication; robert’s uterus; congenital uterine malformation; reproductive tract abnormalities; laparoscopy in gynecology |
| spellingShingle | Abhinibesh Chatterjee Polly Chatterjee Avishek Bhadra Rumela Biswas Hystero-laparoscopic communication of right non-communicating horn of Robert’s uterus in a 16-year-old girl with severe dysmenorrhea and hematometra: A case report Asian Journal of Medical Sciences hystero-laparoscopic communication; robert’s uterus; congenital uterine malformation; reproductive tract abnormalities; laparoscopy in gynecology |
| title | Hystero-laparoscopic communication of right non-communicating horn of Robert’s uterus in a 16-year-old girl with severe dysmenorrhea and hematometra: A case report |
| title_full | Hystero-laparoscopic communication of right non-communicating horn of Robert’s uterus in a 16-year-old girl with severe dysmenorrhea and hematometra: A case report |
| title_fullStr | Hystero-laparoscopic communication of right non-communicating horn of Robert’s uterus in a 16-year-old girl with severe dysmenorrhea and hematometra: A case report |
| title_full_unstemmed | Hystero-laparoscopic communication of right non-communicating horn of Robert’s uterus in a 16-year-old girl with severe dysmenorrhea and hematometra: A case report |
| title_short | Hystero-laparoscopic communication of right non-communicating horn of Robert’s uterus in a 16-year-old girl with severe dysmenorrhea and hematometra: A case report |
| title_sort | hystero laparoscopic communication of right non communicating horn of robert s uterus in a 16 year old girl with severe dysmenorrhea and hematometra a case report |
| topic | hystero-laparoscopic communication; robert’s uterus; congenital uterine malformation; reproductive tract abnormalities; laparoscopy in gynecology |
| url | https://ajmsjournal.info/index.php/AJMS/article/view/4494 |
| work_keys_str_mv | AT abhinibeshchatterjee hysterolaparoscopiccommunicationofrightnoncommunicatinghornofrobertsuterusina16yearoldgirlwithseveredysmenorrheaandhematometraacasereport AT pollychatterjee hysterolaparoscopiccommunicationofrightnoncommunicatinghornofrobertsuterusina16yearoldgirlwithseveredysmenorrheaandhematometraacasereport AT avishekbhadra hysterolaparoscopiccommunicationofrightnoncommunicatinghornofrobertsuterusina16yearoldgirlwithseveredysmenorrheaandhematometraacasereport AT rumelabiswas hysterolaparoscopiccommunicationofrightnoncommunicatinghornofrobertsuterusina16yearoldgirlwithseveredysmenorrheaandhematometraacasereport |