Dong J, Wang JJ, Fei JY, Wu LF, Chen YY. Laparoscopy combined with hysteroscopy in the treatment of Robert’s uterus accompanied by adenomyosis: A case report. World J Clin Cases 2024; 12(25): 5769-5774 [PMID: 39247731 DOI: 10.12998/wjcc.v12.i25.5769]
Corresponding Author of This Article
Jie Dong, MD, MS, Doctor, Department of Gynecology, Huzhou Maternity & Child Health Care Hospital, No. 2 East Street, Huzhou 313000, Zhejiang Province, China. huzdj2020@163.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 6, 2024; 12(25): 5769-5774 Published online Sep 6, 2024. doi: 10.12998/wjcc.v12.i25.5769
Laparoscopy combined with hysteroscopy in the treatment of Robert’s uterus accompanied by adenomyosis: A case report
Jie Dong, Jia-Jian Wang, Jing-Ying Fei, Li-Fang Wu, Ying-Ying Chen
Jie Dong, Jia-Jian Wang, Li-Fang Wu, Ying-Ying Chen, Department of Gynecology, Huzhou Maternity & Child Health Care Hospital, Huzhou 313000, Zhejiang Province, China
Jing-Ying Fei, Department of Ultrasound, Huzhou Maternity & Child Health Care Hospital, Huzhou 313000, Zhejiang Province, China
Author contributions: Dong J contributed to manuscript writing and editing, and data collection; Wang JJ and Wu LF contributed to the surgical procedure; Chen YY contributed to data analysis; Fei JY contributed to conceptualization and supervision; All authors have read and approved the final manuscript.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jie Dong, MD, MS, Doctor, Department of Gynecology, Huzhou Maternity & Child Health Care Hospital, No. 2 East Street, Huzhou 313000, Zhejiang Province, China. huzdj2020@163.com
Received: February 1, 2024 Revised: May 31, 2024 Accepted: June 17, 2024 Published online: September 6, 2024 Processing time: 166 Days and 15.1 Hours
Abstract
BACKGROUND
Gynaecologists should be aware of a rare obstructive Mullerian duct abnormality like Robert’s uterus and perform further surgery when necessary.
CASE SUMMARY
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.
CONCLUSION
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.
