The diagnosis of Mullerian duct anomaly is crucial because of strong association with infertility, endometriosis and miscarriage. Robert’s uterus is a rare variant of septate uterus. Patients present with recurrent abdominal pain and severe dysmenorrhoea. Magnetic resonance imaging is the investigation of choice. In this case series, we present the imaging features of four such cases.
ChanYYJayaprakasanKZamoraJ, et al.The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review. Hum Reprod Update2011; 17: 761–771.
2.
GrimbizisGF. Clinical implications of uterine malformations and hysteroscopic treatment results. Hum Reprod Update2001; 7: 161–174.
3.
AcienP. Incidence of Mullerian defects in fertile and infertile women. Hum Reprod1997; 12: 1372–1376.
4.
RobertH. [Asymmetrical bifidities with unilateral menstrual retention (apropos of l2 cases)]. Chirurgie1970; 96: 796–799.
PelleritoJSMcCarthySMDoyleMB, et al.Diagnosis of uterine anomalies: relative accuracy of MR imaging, endovaginal sonography, and hysterosalpingography. Radiology1992; 183: 795–800.
11.
ZreikTGTroianoRNGhoussoubRA, et al.Myometrial tissue in uterine septa. J Am Assoc Gynecol Laparosc1998; 5: 155–160.
12.
AciénPAciénM. The presentation and management of complex female genital malformations. Hum Reprod Update2016; 22: 48–69.
13.
Di Spiezio SardoAGiampaolinoPScognamiglioM, et al.An exceptional case of complete septate uterus with unilateral cervical aplasia (Class U2bC3V0/ESHRE/ESGE Classification) and isolated mullerian remnants: combined hysteroscopic and laparoscopic treatment. J Minim Invasive Gynecol2016; 23: 16–17.
14.
Di Spiezio SardoACampoRGordtsS, et al.The comprehensiveness of the ESHRE/ESGE classification of female genital tract congenital anomalies: a systematic review of cases not classified by the AFS system. Hum Reprod2015; 30: 1046–1058.
15.
LudwinALudwinI. Comparison of the ESHRE–ESGE and ASRM classifications of Müllerian duct anomalies in everyday practice. Hum Reprod2015; 30: 569–580.
16.
LudwinALudwinIMartinsWP. Robert’s uterus: modern imaging techniques and ultrasound-guided hysteroscopic treatment without laparoscopy or laparotomy. Ultrasound Obstetr Gynecol2016; 48: 526–529.
17.
FedeleLDortaMBrioschiD, et al.Magnetic resonance evaluation of double uteri. Obstet Gynecol1989; 74: 844–847.
18.
BergerABatzerFLev-ToaffA, et al.Diagnostic imaging modalities for Müllerian anomalies: the case for a new gold standard. J Minimally Invasive Gynecol2014; 21: 335–345.
19.
AciénPAciénMFernándezF, et al.The cavitated accessory uterine mass: a Müllerian anomaly in women with an otherwise normal uterus. Obstet Gynecol2010; 116: 1101–1109.
20.
VuralMYildizSCeceH, et al.Favourable pregnancy outcome after endometrectomy for a Robert’s uterus. J Obstetr Gynaecol2011; 31: 668–669.
21.
ChandraMPathakV. Pregnancy in non-communicating half of septate uterus. J Obstet Gynaecol India2012; 62(Suppl 1): 31–32.
