Critical Role of 3D ultrasound in the diagnosis and management of Robert’s uterus: a single-centre case series and a review
| Autor: | A. Deenadayal Tolani, V. Günther, Mamata Deenadayal, Ibrahim Alkatout, R. Sinha, Anupama Deenadayal-Mettler, Liselotte Mettler, D. Freytag |
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| Rok vydání: | 2021 |
| Předmět: |
hysteroscopy
medicine.medical_specialty Pregnancy medicine.diagnostic_test business.industry Robert's uterus Ultrasound laparoscopy Uterus Magnetic resonance imaging medicine.disease medicine.anatomical_structure Hysteroscopy medicine Original Article 3D ultrasound Radiology Uterine cavity congenital uterine anomalies business Laparoscopy |
| Zdroj: | Facts, Views & Vision in ObGyn |
| ISSN: | 2684-4230 2032-0418 |
| Popis: | A septate uterus with a non-communicating hemicavity was first described by Robert in 1969/70 as a specific malformation of the uterus. The condition is commonly associated with a blind uterine hemicavity, unilateral haematometra, a contralateral unicornuate uterine cavity and a normal external uterine fundus. The main symptoms are repetitive attacks of pain at four-weekly intervals around menarche, repeated dysmenorrhea, recurrent pregnancy loss and infertility. In this report, we review the disease, its diagnosis and treatment, and describe five cases of Robert’s uterus. Three dimensional (3D) ultrasound (US) imaging was performed by the transvaginal route in four cases. In the fifth case of a 13-year-old girl, we avoided the vaginal route and magnetic resonance imaging (MRI) and 3D transrectal US yielded the correct diagnosis. The following treatment procedures were undertaken: laparoscopic endometrectomy, hysteroscopic septum resection, laparoscopic uterine hemicavity resection and total laparoscopic hysterectomy (TLH). The diagnosis and optimum treatment of Robert’s uterus remains difficult for clinicians because of its rarity. A detailed and careful assessment by 3D US should be performed, followed by hysteroscopy in combination with laparoscopy, to confirm the diagnosis. |
| Databáze: | OpenAIRE |
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