Misdiagnosed Roberts Uterus Leading to Surgical Misadventures

Abstract

Background: Developmental anomalies of the Müllerian duct system are some of the most intriguing and challenging disorders that gynecologists and surgeons encounter in their practice.

Case: We report on a 16-year-old adolescent girl with regular menstrual cycles, who presented with recurrent cyclical abdominal pain for which she had undergone 2 unsuccessful surgeries. When correctly diagnosed with the rare condition of "Robert's uterus," she underwent successful metroplasty and is completely asymptomatic at 2-year follow-up.

Summary and conclusion: To avoid inappropriate management, gynecologists and surgeons should be aware of this rare entity while evaluating cases of severe dysmenorrhoea in previously normal menstruating young girls.

Keywords: Bicornuate uterus; Dysmenorrhea; Hematometra; Müllerian duct anomalies; Robert's uterus; Septate uterus; Urogenital abnormalities; Uterine anomalies.