Inappropriate surgery in a patient with misdiagnosed Robert’s uterus

• Main Authors: Iori Kisu, Kanako Nakamura, Tetsuro Shiraishi, Tomoko Iijima, Moito Iijima, Kiyoko Matsuda, Nobumaru Hirao
• Format: Article
• Language: English
• Published: BMC 2021-07-01
• Series: BMC Women's Health
• Subjects: Robert’s uterus; Mullerian anomaly; Septate uterus; Dysmenorrhea; Rudimentary horn; Unicornuate uterus
• Online Access: https://doi.org/10.1186/s12905-021-01404-3

Abstract 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.