Robert’s Uterus, Rare Uterine Anomaly: A Case Report

Shakeela Ishrat, Iva Rani Nandi, Jesmine Banu
In: Bangladesh Journal of Obstetrics & Gynaecology · 2022 · vol. 35(2) , pp. 125–129 · doi:10.3329/bjog.v35i2.58799 · W4220823269
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-08-07 ⓘ

This case report describes a 19-year-old woman with Robert's uterus, a rare uterine anomaly, whose condition was diagnosed via laparoscopy and hysteroscopy, followed by surgical excision of the obstructed hemi-cavity to relieve pain.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-09 · read from full text ⓘ

This case report describes a 19-year-old woman with Robert’s uterus, an extremely rare asymmetric septate uterus where one cavity is non-communicating and the other communicates with the cervix. The patient presented with severe dysmenorrhea and abdominal pain caused by hematometra in the obstructed hemi-cavity, which was confirmed through surgical exploration after imaging modalities failed to provide a definitive diagnosis. Treatment involved laparoscopy, hysteroscopy, and laparotomy to excise the endometrium of the obstructed cavity, resulting in complete relief of pain for the patient. The paper explicitly discusses endometriosis as a potential complication arising from obstruction to menstrual flow in the non-communicating cavity of this specific uterine anomaly.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Roberts uterus is an extremely rare variety of congenital mullerian duct anomaly. It is also known as asymmetric septate uterus. The uterine septum is complete and fused with uterine wall on one side dividing the cavity into two: one non-communicating and another communicating with cervix. Regular menstrual flow occurs from the communicating cavity. At the same time, obstruction to menstrual flow in one cavity results in formation of hematometra, sometimes hematosalpinx and endometriosis. Presenting symptoms are severe dysmenorrhea and abdominal pain.Imaging modalities like three dimensional ultrasonography or magnetic resonance imaging are useful in diagnosing the mullerian duct anomaly. Traditionally the condition has been treated by laparotomy followed by complete excision of the obstructed one sided cavity. In recent years, incision of septum has been done by hysteroscopy, resulting in a uterine cavity with better reproductive outcome. Here presented the case of a 19 year old woman with Robert’s uterus. The imaging modalities failed to diagnose the case. The anomaly was explored by laparoscopy and hysteroscopy followed by laparotomy. The obstructed hemi-cavity had thick altered blood. It was obliterated following excision of endometrium. The woman was relieved of pain thereafter. Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 125-129
Full text 1,505 characters · extracted from oa-html · click to expand
Robert’s Uterus, Rare Uterine Anomaly: A Case Report Keywords: Mullerian anomalies, Robert’s uterus, Septate uterus, HematometraAbstract Roberts uterus is an extremely rare variety of congenital mullerian duct anomaly. It is also known as asymmetric septate uterus. The uterine septum is complete and fused with uterine wall on one side dividing the cavity into two: one non-communicating and another communicating with cervix. Regular menstrual flow occurs from the communicating cavity. At the same time, obstruction to menstrual flow in one cavity results in formation of hematometra, sometimes hematosalpinx and endometriosis. Presenting symptoms are severe dysmenorrhea and abdominal pain.Imaging modalities like three dimensional ultrasonography or magnetic resonance imaging are useful in diagnosing the mullerian duct anomaly. Traditionally the condition has been treated by laparotomy followed by complete excision of the obstructed one sided cavity. In recent years, incision of septum has been done by hysteroscopy, resulting in a uterine cavity with better reproductive outcome. Here presented the case of a 19 year old woman with Robert’s uterus. The imaging modalities failed to diagnose the case. The anomaly was explored by laparoscopy and hysteroscopy followed by laparotomy. The obstructed hemi-cavity had thick altered blood. It was obliterated following excision of endometrium. The woman was relieved of pain thereafter. Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 125-129 289 341

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-html ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisdysmenorrhea

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK