Inappropriate surgery in a patient with misdiagnosed Robert’s uterus
| Autor: | Moito Iijima, Kanako Nakamura, Tomoko Iijima, Nobumaru Hirao, Kiyoko Matsuda, Tetsuro Shiraishi, Iori Kisu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent Septate uterus Reproductive medicine Uterus Case Report 03 medical and health sciences 0302 clinical medicine Dysmenorrhea Pregnancy Uterine malformation Hematometra medicine Humans Diagnostic Errors Unicornuate uterus 030219 obstetrics & reproductive medicine business.industry urogenital system Rudimentary horn Obstetrics and Gynecology General Medicine Gynecology and obstetrics medicine.disease humanities Uterine rupture Surgery medicine.anatomical_structure Robert’s uterus Reproductive Medicine Mullerian anomaly 030220 oncology & carcinogenesis Urogenital Abnormalities Quality of Life RG1-991 Female Public aspects of medicine RA1-1270 business |
| Zdroj: | BMC Women's Health, Vol 21, Iss 1, Pp 1-6 (2021) BMC Women's Health |
| ISSN: | 1472-6874 |
| Popis: | Background Robert’s uterus is a rare Mullerian anomaly, which can be described as an asymmetric, septate uterus with a non-communicating hemicavity. Herein, we present the case of a misdiagnosed Robert’s uterus, resulting in an invasive and disadvantageous surgery. Case presentation A 16-year-old woman was referred to our department because of dysmenorrhea and suspicion of uterine malformation. We misdiagnosed Robert’s uterus as a unicornuate uterus with a non-communicating rudimentary horn and hematometra, and performed laparoscopic hemi-hysterectomy. Although the patient’s symptoms were relieved, our surgical procedure left the lateral uterine wall weak, making the patient’s uterus susceptible to uterine rupture in any future pregnancy. Conclusions Although the early diagnosis of Robert’s uterus is challenging, it is important in order to determine appropriate surgical interventions and management for maintaining the quality of life and ensuring safety in future pregnancies. |
| Databáze: | OpenAIRE |
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