Carmen Capito1, Sabine Sarnacki. 1. Department of Pediatric Surgery, Necker Enfants-Malades Hospital, Paris V University, Paris, France.
Abstract
BACKGROUND: Robert's uterus is an asymmetric septate uterus. This malformation is very rare, particularly in the pediatric age group. Radiologic findings could be surprising, but are very specific. We report here a representative case. CASE: A 15-year-old patient complaining of recurrent abdominal cramps consulted the emergency department for evaluation of acute pain. Radiologic studies showed a circular lesion that had developed within the posterior wall of the uterus. The patient underwent surgery for a suspected Robert's uterus and an endometriectomy of the blind cavity was performed. There was no communication between the blind cavity and the ipsilateral fallopian tube. SUMMARY AND CONCLUSION: Pediatric surgeons and gynecologists should be aware of this atypical obstructive Müllerian malformation and its management in order to avoid inappropriate management of these young patients.
BACKGROUND: Robert's uterus is an asymmetric septate uterus. This malformation is very rare, particularly in the pediatric age group. Radiologic findings could be surprising, but are very specific. We report here a representative case. CASE: A 15-year-old patient complaining of recurrent abdominal cramps consulted the emergency department for evaluation of acute pain. Radiologic studies showed a circular lesion that had developed within the posterior wall of the uterus. The patient underwent surgery for a suspected Robert's uterus and an endometriectomy of the blind cavity was performed. There was no communication between the blind cavity and the ipsilateral fallopian tube. SUMMARY AND CONCLUSION: Pediatric surgeons and gynecologists should be aware of this atypical obstructive Müllerian malformation and its management in order to avoid inappropriate management of these young patients.
Authors: A Di Spiezio Sardo; R Campo; S Gordts; M Spinelli; C Cosimato; V Tanos; S Brucker; T C Li; M Gergolet; C De Angelis; L Gianaroli; G Grimbizis Journal: Hum Reprod Date: 2015-03-18 Impact factor: 6.918