Challenges in the diagnosis and management of Robert's uterus: Systematic review and case presentation

JOURNAL OF CLINICAL ULTRASOUND(2024)

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摘要
Robert's uterus is a rare Mullerian duct anomaly (MDA) characterized by complete asymmetric septum dividing uterine cavity into two non-communicating parts. This study offers insights into diagnosing and management of this condition in a young patient, and a systematic literature review. The review included 19 studies from 2013 to 2023. 11.4% of women reported a history of miscarriage and 5.7% primary infertility. Dysmenorrhea was the most frequent symptom (54.3%), and 14.3% of patients had a coexisting endometriosis. The surgical interventions most commonly combine laparoscopic and hysteroscopic techniques. Robert's uterus requires heightened clinical awareness for early diagnosis, particularly in young women.
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关键词
dysmenorrhea,hematometra,hysteroscopy,laparoscopy,uterine anomalies
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