Minimally invasive surgical treatment of Robert's uterus with missed miscarriage: case report.

IF 0.9 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Journal of Obstetrics and Gynaecology Pub Date : 2024-12-01 Epub Date: 2024-01-21 DOI:10.1080/01443615.2024.2305204
Houyu Yang, Yuanjunzi Shi, Gang Ji
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Abstract

Robert's uterus was firstly reported in 1970, it's a rare Müllerian duct anomaly with 2 intra-uterine cavities divided by asymmetrical septum. One of the cavities is completely obstructed to cervix by septum and menstruation fluid retents in this blind cavity, periodical pelvic pain during menstruation can lead attendance to hospital. We report a gravida of Robert's uterus with missed abortion in the blind cavity, who had mild dysmenorrhoea since adolescent age, diagnosed and treated by minimally invasive surgical methods. To our knowledge, it's a previously unreported case which gynaecologists terminated pregnancy in blind cavity of Robert's uterus without resecting the septum while dysmenorrhoea relieved entirely and postoperative volume of menstruation stayed the same as preoperative.

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罗伯特氏子宫伴漏诊流产的微创手术治疗:病例报告。
罗伯特氏子宫于 1970 年首次被报道,是一种罕见的穆勒氏管畸形,子宫内有两个被不对称的隔膜分割的空腔。其中一个宫腔被隔膜完全阻塞,与宫颈相通,月经液滞留在这个盲腔中,月经期间的周期性盆腔疼痛可导致患者到医院就诊。我们报告了一名自青春期起就有轻度痛经的罗伯特氏子宫孕妇,她的盲腔内有漏流产,我们通过微创手术方法对其进行了诊断和治疗。据我们所知,妇科医生在没有切除子宫中隔的情况下终止了罗伯特氏子宫盲腔妊娠,同时痛经完全缓解,术后月经量与术前保持一致,这在以前是没有报道过的。
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来源期刊
CiteScore
2.40
自引率
7.70%
发文量
398
审稿时长
6 months
期刊介绍: Journal of Obstetrics and Gynaecology represents an established forum for the entire field of obstetrics and gynaecology, publishing a broad range of original, peer-reviewed papers, from scientific and clinical research to reviews relevant to practice. It also includes occasional supplements on clinical symposia. The journal is read widely by trainees in our specialty and we acknowledge a major role in education in Obstetrics and Gynaecology. Past and present editors have recognized the difficulties that junior doctors encounter in achieving their first publications and spend time advising authors during their initial attempts at submission. The journal continues to attract a world-wide readership thanks to the emphasis on practical applicability and its excellent record of drawing on an international base of authors.
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