Challenges in the diagnosis and management of Robert's uterus: Systematic review and case presentation.
Ferdinando Antonio GulinoSara OcchipintiCarla EttoreGiosuè Giordano IncognitoEmanuele RussoFrancesco Giuseppe CannoneGiuseppe EttorePublished in: Journal of clinical ultrasound : JCU (2024)
Robert's uterus is a rare Müllerian 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.
Keyphrases
- systematic review
- end stage renal disease
- polycystic ovary syndrome
- ejection fraction
- newly diagnosed
- chronic kidney disease
- case report
- meta analyses
- physical activity
- peritoneal dialysis
- patient reported
- metabolic syndrome
- adipose tissue
- type diabetes
- insulin resistance
- pregnancy outcomes
- patient reported outcomes
- case control
- minimally invasive
- skeletal muscle