Journal of Pediatric and Adolescent Gynecology
Volume 22, Issue 5 , Pages e104-e106, October 2009

Menstrual Retention In a Robert's Uterus

  • Carmen Capito, MD
    • ,
  • Sabine Sarnacki, MD, PhD

      Affiliations

    • Corresponding Author InformationAddress correspondence to: Sabine Sarnacki, MD, PhD, Service de Chirurgie Pédiatrique et INSERM U-793, Hôpital et Faculté Necker Enfants-Malades, 149 rue de Sèvres, 75743 Paris Cedex 15, France

Department of Pediatric Surgery, Necker Enfants-Malades Hospital, Paris V University, Paris, France

published online 09 April 2009.

Abstract 

Background

Robert's uterus is an asymmetric septate uterus. This malformation is very rare, particularly in the pediatric age group. Radiologic findings could be surprising, but are very specific. We report here a representative case.

Case

A 15-year-old patient complaining of recurrent abdominal cramps consulted the emergency department for evaluation of acute pain. Radiologic studies showed a circular lesion that had developed within the posterior wall of the uterus. The patient underwent surgery for a suspected Robert's uterus and an endometriectomy of the blind cavity was performed. There was no communication between the blind cavity and the ipsilateral fallopian tube.

Summary and Conclusion

Pediatric surgeons and gynecologists should be aware of this atypical obstructive Müllerian malformation and its management in order to avoid inappropriate management of these young patients.

Key Words: Robert's uterus, Dysmenorrhea, Myometrial cystic lesion

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 30.00 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1083-3188(08)00130-7

doi:10.1016/j.jpag.2008.03.004

Journal of Pediatric and Adolescent Gynecology
Volume 22, Issue 5 , Pages e104-e106, October 2009

Article Tools

* Image Usage & Resolution