Published online Sep 6, 2024. doi: 10.12998/wjcc.v12.i25.5769
Revised: May 31, 2024
Accepted: June 17, 2024
Published online: September 6, 2024
Processing time: 166 Days and 15.1 Hours
Gynaecologists should be aware of a rare obstructive Mullerian duct abnormality like Robert’s uterus and perform further surgery when necessary.
We report a 41-year-old mother of two children with Robert’s uterus who was examined and treated by laparoscopy and hysteroscopy. Unlike the existing cases reported in the literature, this patient had a late onset of Robert’s uterus symptoms. Due to right tubal ectopic pregnancy 3 years previously, the patient was treated with right salpingectomy and left tubal ligation but suffered aggravated left lower abdominal pain. She was examined and treated by laparoscopy and hysteroscopy, and is completely asymptomatic at 5-year follow-up.
The typical obstructive Mullerian abnormality requires further surgery. Combined laparoscopy and hysteroscopy is an effective, minimally invasive technique with better recovery outcomes than traditional transabdominal procedures.
Core Tip: Robert's uterus was found earlier in cases reported in the literature, compared with our case. The blind rudimentary uterine cavity usually communicates with the ipsilateral fallopian tube, permitting partial reflux of retained menstrual blood into the peritoneal cavity. Therefore, the patient’s clinical symptoms were mild. Progressively aggravated dysmenorrhoea occurred due to menstruation retention after sterilisation on the same side of the fallopian tube.