Robert's Uterus-Types, Diagnosis, and Management Options: Case Series and Review of Literature.

Objective To report three cases of Robert’s uterus and to describe the types, diagnostic methods, and management options for this rare Mullerian anomaly.

Three adolescent girls presented with progressive severe dysmenorrhea since menarche. Two girls had undergone inappropriate surgeries due to misdiagnosis in past which did not relieve their symptoms. MRI reported as juvenile cystic adenomyoma (JCA) in one girl and Robert’s uterus in other two girls.

All three patients underwent surgical intervention. The first patient underwent laparoscopic blind horn resection and residual myometrial closure. The decision was taken in view of severe symptoms, school dropout, large adenomyotic lesion, and previous one appendicectomy following misdiagnosis, and patient was not willing for any conservative management. The other two patients underwent transabdominal ultrasonography-guided hysteroscopic resection of septum and hematometra drainage. All the patients had relieved from dysmenorrhea and are asymptomatic.

All girls presenting with progressive dysmenorrhea should be evaluated for Mullerian anomalies including the rare ones like Robert’s uterus. USG-guided hysteroscopic septal resection may be considered for all cases of Robert’s uterus for immediate symptom relief and better future reproductive outcomes. Further long-term follow-up of these patients undergoing conservative surgeries is warranted. Similar content being viewed by others

Mahey R, Cheluvaraju R, Kumari S, et al. Robert’s uterus versus Juvenile cystic adenomyoma-Diagnostic and therapeutic challenges—case report and review of literature. J Hum Reprod Sci. 2023;16:79–86. De A, Jain A, Tripathi R, et al. complete uterine septum with cervical duplication and longitudinal vaginal septum: An anomaly supporting alternative embryological development. J Hum Reprod Sci. 2020;13:352–5. Ludwin A, Ludwin I, Bhagavath B, et al. Pre-, intra-, and postoperative management of Robert’s uterus. Fertil Steril. 2018;110:778–9. Singh S, Malik R, Gupta P, et al. Successful outcome in a perplexing case of Roberts uterus: a rare uterine anomaly, a rare case report with review of literature. Intern J Reprod Contracep Obstet Gynecol. 2020;9(1):440. https://doi.org/10.18203/2320-1770.ijrcog20196064. Romanski PA, Bortoletto P, Pfeifer SM. Unilateral obstructed müllerian anomalies: a series of unusual variants of known anomalies. J Pediatr Adolesc Gynecol. 2021;34:749–57. Kisu I, Nakamura K, Shiraishi T, Iijima T, et al. Inappropriate surgery in a patient with misdiagnosed Robert’s uterus. BMC Womens Health. 2021;21:264. Deenadayal M, Günther V, Alkatout I, et al. Critical role of 3D ultrasound in the diagnosis and management of Robert’s uterus: a single-Centre case series and a review. Facts Views Vis Obgyn. 2021;13:41–9. Shah N, Changede P. Hysteroscopic management of Robert’s uterus. J Obstet Gynaecol India. 2020;70:86–8. Funding None. Author information Authors and Affiliations Corresponding author Ethics declarations Conflict of interest There is conflict of interest among authors. Ethical approval Ethical clearance was taken from the Institutional Ethical committee, Ref No.: IEC-432/17.7.2023. Patient consent statement The patients have consented to share their personal information and images. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Neha Varun is an Associate Professor; Reeta Mahey is a Professor; Archana Kumari is an Associate Professor; Garima Kachhawa is a Professor; Manasi Deoghare is a Senior Resident; Rohitha Cheluvaraju is a DM Reproductive Medicine; Neerja Bhatla is a Professor & Head. Rights and permissions Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. About this article Cite this article Varun, N., Mahey, R., Kumari, A. et al. Robert’s Uterus-Types, Diagnosis, and Management Options: Case Series and Review of Literature. J Obstet Gynecol India 75 (Suppl 1), 215–220 (2025). https://doi.org/10.1007/s13224-024-02074-5 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s13224-024-02074-5