Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Feb 24;16(5):1085-1088.
doi: 10.1016/j.radcr.2021.02.013. eCollection 2021 May.

Pregnancy in the blind hemi-cavity of Robert's uterus: a case report

Yan Liu  1 , Shanshan Wang  1 , Yue Hong  1 , Jia Wang  1 , Junqiao Niu  1 , Xiaojuan Li  1 , Hui Li  1 , Yan Wang  1
Affiliations
Case Reports

Pregnancy in the blind hemi-cavity of Robert's uterus: a case report

Yan Liu et al. Radiol Case Rep. .

Erratum in

Abstract

Robert's uterus is a rare Müllerian malformation first characterized by a French gynecologist Héléne Robert in 1969. It represents an asymmetric division of the uterine cavity. A 45-year-old female patient presented with vaginal bleeding and vague abdominal pain for the course of 20 days, with a blood human chorionic gonadotropin level of 10331.00 mIU/mL, and a gestational sac in the right uterine horn without a fetal heart beat revealed by the ultrasound. Ectopic pregnancy in the right uterine horn seemed to be the most likely diagnosis. Laparoscopic and hysteroscopic attempts to terminate the pregnancy failed. A pelvic magnetic resonance imaging (MRI) performed after the surgery demonstrated Robert's uterus with pregnancy in the blind hemicavity. When a pregnancy sac has been revealed by an ultrasound but nothing has been found by a hysteroscopy, a possibility of uterine malformation should be considered. Radiologists and gynecologists should consider the application of MRI for diagnosis of congenital Müllerian uterine anomalies.

Keywords: ASRM, American Society for Reproductive Medicine; CT, computed tomography; MRI, magnetic resonance imaging; Müllerian malformation; Robert's uterus; Septate uterus.

PubMed Disclaimer

Figures

Fig 1
Fig 1
Hysteroscopy failed to locate gestational sac in the uterus.
Fig 2
Fig 2
Partially complete septum (arrow) with a 5 × 5 mm defect (arrow head) divides the uterine cavity into two parts. Pregnancy in the posterior blind hemicavity (short arrow).
Fig 3
Fig 3
Sagittal MRI shows partially complete septum (arrow) with a 5 × 5 mm defect (arrow head). Pregnancy in posterior blind hemicavity (short arrow).
Fig 4
Fig 4
T2-hyposignal suggests old bleeding in the gestational sac (arrow).
Fig 5
Fig 5
Hemicavity in the left anterior side of the uterus connects the cervix (arrow).
Fig 6
Fig 6
Pregnancy in the blind hemicavity (short arrow). Upper third of the septum revealed communication with the other half of the uterus (arrow). Uterine adenomyosis and fibroids (arrow head).
See this image and copyright information in PMC

References

    1. Robert H. Asymmetrical bifidities with unilateral menstrual retention (apropos of l2 cases) Chirurgie. 1970;96:796. - PubMed
    1. Benzineb N, Bellasfar M, Merchaoui J. Robert's uterus with menstrual retention in the blind cavity. J Gynecol Obstet Biol Reprod (Paris) 1993;22:366. - PubMed
    1. Gupta N., Mittal S., Dadhwal V., Misra R. A unique congenital mullerian anomaly: Robert's uterus. Arch Gynecol Obstet. 2007;276(6):641–643. - PubMed
    1. Perino A, Chianchiano N, Simonaro C. Endoscopic management of a case of, complete septate uterus with unilateral haematometra. Hum Reprod. 1995;10:2171. - PubMed
    1. Singhal S, Agarwal U, Sharma D, Sirohiwal D. Pregnancy in asymmetric blind hemicavity of Robert’s uterus a previously unreported phenomenon. Eur J Obstet Gynecol Reprod Biol. 2003;107(1):93–95. - PubMed

Publication types

LinkOut - more resources